0000899243-16-030656.txt : 20161004 0000899243-16-030656.hdr.sgml : 20161004 20161004105007 ACCESSION NUMBER: 0000899243-16-030656 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: Berend James F CENTRAL INDEX KEY: 0001657136 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35639 FILM NUMBER: 161917553 MAIL ADDRESS: STREET 1: 5748 BERNAY LANE CITY: PLANO STATE: TX ZIP: 75024 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-09-30 1 0001507881 USMD Holdings, Inc. USMD 0001657136 Berend James F 6333 N. STATE HIGHWAY 161 SUITE 200 IRVING TX 75038 0 1 0 0 EVP and CFO Option to purchase 8.21 2016-09-30 4 D 0 100000 D 2023-08-06 Common Stock ($.01 par) 100000 0 D Options for 20,000 shares vested on each of August 6, 2015 and January 1, 2016, and the remaining options vested at a rate of 20,000 shares per year beginning on January 1, 2017. Pursuant to the Agreement and Plan of Merger dated August 29, 2016 among the issuer, WellMed Medical Management, Inc. and Project Z Merger Sub, Inc., a wholly-owned subsidiary of WellMed Medical Management, Inc., (the "Merger"), as of the effective time of the Merger, all vested and unvested were automatically cancelled and converted into a right to receive a cash payment of $22.34 per share, less the applicable exercise price. /s/ James F. Berend 2016-10-04