0000899243-16-030651.txt : 20161004 0000899243-16-030651.hdr.sgml : 20161004 20161004104715 ACCESSION NUMBER: 0000899243-16-030651 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160930 FILED AS OF DATE: 20161004 DATE AS OF CHANGE: 20161004 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: Bundy Darcie Ann CENTRAL INDEX KEY: 0001566942 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35639 FILM NUMBER: 161917544 MAIL ADDRESS: STREET 1: 3505 TURTLE CREEK BLVD. STREET 2: #3A CITY: DALLAS STATE: TX ZIP: 75219 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-09-30 1 0001507881 USMD Holdings, Inc. USMD 0001566942 Bundy Darcie Ann 3505 TURTLE CREEK BLVD. #3A DALLAS TX 75219 1 0 0 0 Common Stock ($.01 par value) 2016-09-30 4 D 0 13887 D 0 D Disposed of at the effective time of the merger of Project Z Merger Sub, Inc. ("Merger Sub"), a wholly-owned subsidiary of WellMed Medical Management, Inc., a Texas corporation ("WellMed"), with and into the issuer (the "Merger"), pursuant to that certain Agreement and Plan of Merger dated August 29, 2016, between the issuer, WellMed and Merger Sub, in exchange for a cash payment of $22.34 per share. /s/ Darcie Ann Bundy 2016-10-04