SEC Form 5 · accession 0001127602-17-001321
UNIVERSAL HEALTH SERVICES INC · UHS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Alan B Miller
Officer — Chairman and CEO · Director · 10% Owner
Period of report
Dec 31, 2016
Accepted (ET)
Jan 9, 2017 · 12:18 pm EST
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 | Dec 28, 2016 | G | 19,000 | $0.00 | D | 921,877 | D | |
| Class B Common StockF1 | holding | — | — | — | 19,000 | I | The Alan and Jill Miller Foundation |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Mr. Miller disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Miller is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.