0000899243-16-011258.txt : 20160107 0000899243-16-011258.hdr.sgml : 20160107 20160107125550 ACCESSION NUMBER: 0000899243-16-011258 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160107 DATE AS OF CHANGE: 20160107 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: Saalfield James G. CENTRAL INDEX KEY: 0001556889 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35639 FILM NUMBER: 161329674 MAIL ADDRESS: STREET 1: 5500 DRANE DRIVE CITY: DALLAS STATE: TX ZIP: 75209 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-12-31 0 0001507881 USMD Holdings, Inc. USMD 0001556889 Saalfield James G. 5500 DRANE DRIVE DALLAS TX 75209 1 0 0 0 Common Stock ($.01 par) 2015-12-31 4 A 0 1629 7.98 A 18732 D Common Stock ($.01 par) 118592 I Indirectly held through UANT Ventures, L.P. Common Stock ($.01 par) 13248 I Held in James G. Saalfield, MD, P.A. Options to Purchase 24.84 2012-08-31 2017-08-31 Common Stock ($.01 par) 1706 1706 I Indiectly held through UANT Ventures, L.P. Represents stock compensation granted to reporting person under the 2010 USMD Holdings, Inc. Equity Compensation Plan for his services as a director for the period from October 2015 through December 2015. /s/ James G. Saalfield 2016-01-06