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