0000899243-16-030652.txt : 20161004
0000899243-16-030652.hdr.sgml : 20161004
20161004104732
ACCESSION NUMBER: 0000899243-16-030652
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: Saalfield James G.
CENTRAL INDEX KEY: 0001556889
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35639
FILM NUMBER: 161917548
MAIL ADDRESS:
STREET 1: 5500 DRANE DRIVE
CITY: DALLAS
STATE: TX
ZIP: 75209
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-09-30
1
0001507881
USMD Holdings, Inc.
USMD
0001556889
Saalfield James G.
5500 DRANE DRIVE
DALLAS
TX
75209
1
0
0
0
Common Stock ($.01 par value)
2016-09-30
4
D
0
19809
D
0
D
Common Stock ($.01 par value)
2016-09-30
4
D
0
121464
D
0
I
Indirectly held through UANT Ventures, L.P.
Common Stock ($.01 par value)
2016-09-30
4
D
0
13248
D
0
I
Indirectly held through James G. Saalfield, MD, P.A.
Option to purchase
24.84
2016-09-30
4
D
0
1756
D
2012-08-31
2017-08-31
Common Stock ($0.01 par)
1756
0
I
Indirectly held trhoguh UANT Ventures, L.P.
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.
Upon its disposition of its shares of the issuer's common stock at the effective time of the Merger, UANT Ventures, L.P. ("Ventures") received a cash payment of $22.34 per share. After paying certain Merger-related costs, each partner of Ventures, including the reporting person, received a distribution equal to $22.22 per share (subject to certain post-closing adjustments) for the shares of the issuer's common stock such person held indirectly through Ventures.
The stock option was not exercised but was cancelled as of the effective time of the Merger as the exercise price exceeded $22.34 per share.
/s/ James G. Saalfield
2016-10-04