0000899243-16-014221.txt : 20160224
0000899243-16-014221.hdr.sgml : 20160224
20160224174122
ACCESSION NUMBER: 0000899243-16-014221
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160222
FILED AS OF DATE: 20160224
DATE AS OF CHANGE: 20160224
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: 161453162
MAIL ADDRESS:
STREET 1: 5500 DRANE DRIVE
CITY: DALLAS
STATE: TX
ZIP: 75209
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-02-22
0
0001507881
USMD Holdings, Inc.
USMD
0001556889
Saalfield James G.
5500 DRANE DRIVE
DALLAS
TX
75209
1
0
0
0
Common Stock ($.01 par)
18732
D
Common Stock ($.01 par)
2016-02-22
4
J
0
2872
1.99
A
121464
I
Indirectly held through UANT Ventures, L.P.
Common Stock ($.01 par)
13248
I
Held in James G. Saalfield, MD, P.A.
Options to Purchase
24.84
2016-02-22
4
J
0
50
A
2012-08-31
2017-08-31
Common Stock ($.01 par)
1756
1756
I
Indiectly held through UANT Ventures, L.P.
Dr. Saalfield 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. Saalfield for the Ventures partnership interest was $5,709, all of which is reflected in the per share price set forth in Column 4 of Table I.
/s/ James G. Saalfield
2016-02-24