0000899243-16-027914.txt : 20160823 0000899243-16-027914.hdr.sgml : 20160823 20160823165353 ACCESSION NUMBER: 0000899243-16-027914 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151215 FILED AS OF DATE: 20160823 DATE AS OF CHANGE: 20160823 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: 161847664 MAIL ADDRESS: STREET 1: 5500 DRANE DRIVE CITY: DALLAS STATE: TX ZIP: 75209 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-12-15 0 0001507881 USMD Holdings, Inc. USMD 0001556889 Saalfield James G. 5500 DRANE DRIVE DALLAS TX 75209 1 0 0 0 Common Stock ($.01 par value) 2015-12-15 4 A 0 1077 7.65 A 19809 D Common Stock ($.01 par value) 121464 I Indirectly held through UANT Ventures, L.P. Common Stock ($.01 par value) 13248 I Indirectly held through James G. Saalfield, MD, P.A. Option to purchaser 24.84 2012-08-31 2017-08-31 Common Stock ($0.01 par) 1756 1756 I Indirectly held through UANT Ventures, L.P. Represents stock compensation issued pursuant to the 2010 USMD Holdings, Inc. Equity Compensation Plan and granted to Dr. Saalfield in lieu of compensation of $8,239 for his services as a physician employed by an affiliate of the issuer. /s/ James G. Saalfield 2016-08-23