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