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