SEC Form 4 · accession 0001127602-16-053102
UNIVERSAL HEALTH REALTY INCOME TRUST · UHT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James E Dalton Jr.
Other
Period of report
May 20, 2016
Accepted (ET)
May 23, 2016 · 4:07 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 | May 20, 2016 | M | 1,000 | $52.31 | A | 6,910 | D | |
| Shares Of Beneficial Interest | May 20, 2016 | F | 698 | $52.31 | D | 6,212 | 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 | $36.53 | May 20, 2016 | M | 1,000 | D | — | Mar 1, 2017 | Shares Of Beneficial Interest | 1,000 | 0 | D |
Explanation of responses
- F1The option vested ratably on each of 3/1/2008, 3/1/2009, 3/1/2010 and 3/1/2011. The reporting person has also been granted Dividend Equivalent Rights on the same terms as the options, pursuant to which the reporting person will receive the accrued cash dividends upon exercise of the Dividend Equivalent Rights.