0000899243-15-006558.txt : 20151009 0000899243-15-006558.hdr.sgml : 20151009 20151009162106 ACCESSION NUMBER: 0000899243-15-006558 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150131 FILED AS OF DATE: 20151009 DATE AS OF CHANGE: 20151009 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: USMD Holdings, Inc. CENTRAL INDEX KEY: 0001507881 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 272866866 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6333 NORTH STATE HIGHWAY 161 STREET 2: SUITE 200 CITY: IRVING STATE: TX ZIP: 75038 BUSINESS PHONE: 214-493-4000 MAIL ADDRESS: STREET 1: 6333 NORTH STATE HIGHWAY 161 STREET 2: SUITE 200 CITY: IRVING STATE: TX ZIP: 75038 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Collini M. Patrick CENTRAL INDEX KEY: 0001556961 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35639 FILM NUMBER: 151153352 MAIL ADDRESS: STREET 1: 1410 LONG AND WINDING ROAD CITY: MANSFIELD STATE: TX ZIP: 76063 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-01-31 0 0001507881 USMD Holdings, Inc. USMD 0001556961 Collini M. Patrick 1410 LONG AND WINDING ROAD MANSFIELD TX 76063 1 0 0 0 Common Stock ($.01 par) 2015-01-31 4 A 0 288 15.04 A 13420 D Common Stock ($.01 par) 2015-02-28 4 A 0 303 13.74 A 13723 D Common Stock ($.01 par) 2015-03-31 4 A 0 355 10.44 A 14078 D Common Stock ($.01 par) 2015-06-30 4 A 0 1486 8.48 A 15564 D Common Stock ($.01 par) 2015-09-30 4 A 0 1287 7.20 A 16851 D Common Stock ($.01 par) 2015-10-06 4 A 0 2377 9.06 A 19228 D Common Stock ($.01 par) 124875 I Indirectly held through UANT Ventures, L.P. Common Stock ($.01 par) 13248 I Held in M. Patrick Collini, MD, P.A. Options to Purchase 24.84 2015-09-18 4 J 0 75 A 2012-08-31 2017-08-31 Common Stock ($.01 par) 75 1820 I Indiectly held through UANT Ventures, L.P. Dr. Collini purchased additional partnership interests in UANT Ventures, L.P. ("Ventures"), which resulted in an increase in his indirect beneficial ownership of the shares and options to purchase shares of the issuer's common stock held by Ventures. The aggregate consideration paid by Dr. Collini for the Ventures partnership interest was $8,807, all of which is reflected in the per share price set forth in Column 4 of Table I. Represents stock compensation granted to the reporting person under the 2010 USMD Holdings, Inc. Equity Compensation Plan for his services as a director for the period from January 2015 through September 2015. Represents stock compensation granted to the reporting person under the 2010 USMD Holdings, Inc. Equity Compensation Plan for his services as a physician employed by an affiliate of the issuer. /s/ M. Patrick Collini 2015-09-10