SEC Form 4 · accession 0001127602-16-051260
UNIVERSAL HEALTH SERVICES INC · UHS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anthony Pantaleoni
Director
Period of report
May 4, 2016
Accepted (ET)
May 5, 2016 · 4:23 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000352915
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class B Common Stock | May 4, 2016 | M | 3,750 | $133.88 | A | 3,750 | D | |
| Class B Common Stock | May 4, 2016 | M | 3,750 | $133.88 | A | 7,500 | D | |
| Class B Common Stock | May 4, 2016 | M | 3,750 | $133.88 | A | 11,250 | D | |
| Class B Common Stock | May 4, 2016 | M | 3,750 | $133.88 | A | 15,000 | D | |
| Class B Common Stock | May 4, 2016 | F | 8,005 | $133.88 | D | 6,995 | D | |
| Class B Common Stock | May 5, 2016 | S | 6,995 | $133.51 | D | 0 | D | |
| Class B Common Stock | holding | — | — | — | 0 | I | AP-2 LLC | |
| Class B Common Stock | holding | — | — | — | 0 | I | By Daughter | |
| Class B Common Stock | holding | — | — | — | 0 | I | By Son | |
| Class B Common Stock | holding | — | — | — | 680 | I | Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option To Purchase Class B Common StockF1 | $36.95 | May 4, 2016 | M | 3,750 | D | — | Jan 17, 2017 | Class B Common Stock | 3,750 | 0 | D |
| Option To Purchase Class B Common StockF2 | $53.38 | May 4, 2016 | M | 3,750 | D | — | Jan 15, 2018 | Class B Common Stock | 3,750 | 3,750 | D |
| Option To Purchase Class B Common StockF3 | $78.17 | May 4, 2016 | M | 3,750 | D | — | Mar 25, 2019 | Class B Common Stock | 3,750 | 7,500 | D |
| Option To Purchase Class B Common StockF4 | $117.29 | May 4, 2016 | M | 3,750 | D | — | Mar 17, 2020 | Class B Common Stock | 3,750 | 11,250 | D |
Explanation of responses
- F1Option vested on 1/18/2015.
- F2Option vested on 1/16/2015.
- F3Option vested on 3/26/2015.
- F4Option vests ratably on each of 3/18/2016, 3/18/2017, 3/18/2018 and 3/18/2019.