SEC Form 4 · accession 0001127602-17-033585
UNIVERSAL HEALTH SERVICES INC · UHS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Marc D Miller
Officer — President · Director
Period of report
Nov 29, 2017
Accepted (ET)
Dec 1, 2017 · 10:58 am 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 | Nov 29, 2017 | M | 45,000 | $102.33 | A | 132,345 | D | |
| Class B Common Stock | Nov 29, 2017 | F | 32,324 | $102.33 | D | 100,021 | D | |
| Class B Common Stock | Nov 30, 2017 | M | 22,500 | $107.47 | A | 122,521 | D | |
| Class B Common Stock | Nov 30, 2017 | F | 16,283 | $107.47 | D | 106,238 | 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 | — | — | — | 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 | — | — | — | 43,247 | I | The Abby Danielle Miller 2002 Trust | |
| Class B Common Stock | holding | — | — | — | 55,763 | I | The Abby Miller King 2011 Family Trust | |
| Class B Common Stock | holding | — | — | — | 44,110 | I | The Marc Daniel Miller 2002 Trust | |
| Class B Common Stock | holding | — | — | — | 59,900 | I | The Marc Daniel Miller 2011 Family Trust | |
| Class B Common Stock | holding | — | — | — | 43,247 | I | The Marni Spencer 2002 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 StockF1 | $53.38 | Nov 29, 2017 | M | 45,000 | D | — | Jan 15, 2018 | Class B Common Stock | 45,000 | 45,000 | D |
| Option To Purchase Class B Common StockF1 | $53.38 | Nov 30, 2017 | M | 22,500 | D | — | Jan 15, 2018 | Class B Common Stock | 22,500 | 22,500 | D |
Explanation of responses
- F1Option vests ratably on each of 1/16/2014, 1/16/2015, 1/16/2016 and 1/16/2017.