SEC Form 4 · accession 0001127602-15-025777
UNIVERSAL HEALTH REALTY INCOME TRUST · UHT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Cheryl K Ramagano
Officer — VP, Treasurer & Secretary
Period of report
Aug 25, 2015
Accepted (ET)
Aug 25, 2015 · 2:44 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 25, 2015 | M | 3,000 | $34.90 | A | 25,093 | 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 25, 2015 | M | 3,000 | D | — | Sep 1, 2015 | Shares Of Beneficial Interest | 3,000 | 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.