SEC Form 4 · accession 0001127602-17-013287
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
Mar 29, 2017
Accepted (ET)
Mar 30, 2017 · 4:37 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 | Mar 29, 2017 | A | 16,057 | $0.00 | A | 934,088 | D | |
| Class B Common Stock | holding | — | — | — | 14,858 | I | AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust | |
| Class B Common Stock | holding | — | — | — | 22,259 | I | AMK 2014 LLC held by The Abby Miller King 2015 GRAT | |
| Class B Common Stock | holding | — | — | — | 62,883 | I | AMK 2014 LLC held by The Abby Miller King 2017 GRAT | |
| Class B Common Stock | holding | — | — | — | 55,763 | I | By The Abby Miller King 2011 Family Trust | |
| Class B Common Stock | holding | — | — | — | 14,858 | I | MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust | |
| Class B Common Stock | holding | — | — | — | 22,259 | I | MDM 2014 LLC held by The Marc Daniel Miller 2015 GRAT | |
| Class B Common Stock | holding | — | — | — | 62,883 | I | MDM 2014 LLC held by The Marc Daniel Miller 2017 GRAT | |
| Class B Common Stock | holding | — | — | — | 14,858 | I | MS 2014 LLC held by The Marni Spencer 2002 Trust | |
| Class B Common Stock | holding | — | — | — | 22,259 | I | MS 2014 LLC held by The Marni Spencer 2015 GRAT | |
| Class B Common Stock | holding | — | — | — | 62,883 | I | MS 2014 LLC held by The Marni Spencer 2017 GRAT | |
| Class B Common Stock | holding | — | — | — | 19,000 | I | The Alan and Jill Miller Foundation | |
| Class B Common Stock | holding | — | — | — | 59,900 | I | The Marc Daniel Miller 2011 Family Trust | |
| Class B Common Stock | holding | — | — | — | 55,763 | I | The Marni Spencer 2011 Family 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 StockF2 | $124.56 | Mar 29, 2017 | A | 590,000 | A | — | Mar 28, 2022 | Class B Common Stock | 590,000 | 590,000 | D |
Explanation of responses
- F1These restricted shares were granted pursuant to the Universal Health Services, Inc. Amended and Restated 2010 Employees' Restricted Stock Purchase Plan and shall vest ratably on each of 3/29/2018, 3/29/2019, 3/29/2020 and 3/29/2021.
- F2Option vests ratably on each of 3/29/2018, 3/29/2019, 3/29/2020 and 3/29/2021.