0001179110-21-007869.txt : 20210803 0001179110-21-007869.hdr.sgml : 20210803 20210803165920 ACCESSION NUMBER: 0001179110-21-007869 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210731 FILED AS OF DATE: 20210803 DATE AS OF CHANGE: 20210803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACKSON MARTIN F CENTRAL INDEX KEY: 0001168882 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34465 FILM NUMBER: 211140730 MAIL ADDRESS: STREET 1: 4716 OLD GETTYSBURG ROAD STREET 2: PO BOX 2034 CITY: MECHANICSBURG STATE: PA ZIP: 17055 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SELECT MEDICAL HOLDINGS CORP CENTRAL INDEX KEY: 0001320414 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: C/O SELECT MEDICAL CORP STREET 2: 4714 GETTYSBURG RD CITY: MECHANICSBURG STATE: PA ZIP: 17055 BUSINESS PHONE: 717-972-1100 MAIL ADDRESS: STREET 1: C/O SELECT MEDICAL CORP STREET 2: 4714 GETTYSBURG RD CITY: MECHANICSBURG STATE: PA ZIP: 17055 4 1 edgar.xml FORM 4 - X0306 4 2021-07-31 0 0001320414 SELECT MEDICAL HOLDINGS CORP SEM 0001168882 JACKSON MARTIN F C/O SELECT MEDICAL HOLDINGS CORPORATION 4714 GETTYSBURG ROAD MECHANICSBURG PA 17055 0 1 0 0 Executive Vice President Common Stock 2021-07-31 4 F 0 66270 39.45 D 969158 D Common Stock 2634 I By son Common Stock 2634 I By son Common Stock 2634 I By daughter Common Stock 2634 I By son Surrender of shares to satisfy tax withholding obligation incident to vesting of restricted stock. The reporting person beneficially owns the reported securities indirectly, but disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. /s/ Michael E. Tarvin, as attorney-in-fact 2021-08-03