SEC Form 4 · accession 0001127602-15-024786
UNIVERSAL HEALTH REALTY INCOME TRUST · UHT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Timothy J Fowler
Officer — Vice President
Period of report
Aug 12, 2015
Accepted (ET)
Aug 12, 2015 · 2:28 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000798783
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Shares Of Beneficial Interest | Aug 12, 2015 | M | 2,000 | $34.90 | A | 17,589 | D | |
| Shares Of Beneficial Interest | Aug 12, 2015 | F | 1,444 | $48.35 | D | 16,145 | D |
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 Shares Of Beneficial InterestF1 | $34.90 | Aug 12, 2015 | M | 2,000 | D | — | Sep 1, 2015 | Shares Of Beneficial Interest | 2,000 | 0 | D |
Explanation of responses
- F1The option vested ratably on each of 9/1/2006, 9/1/2007, 9/1/2008 and 9/1/2009. Optionee was also granted Dividend Equivalent Rights on the same terms as the Option, pursuant to which the holder will receive the accrued cash dividends upon exercise of the Dividend Equivalent Rights.