-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Okaa0kYJVulYeESErVZpmw7xemo0OwbC8k4T75q2cue8EJXHaZcOHixx3cJWbcDw yASzrCA9d/wwP2l3AhOZ0w== 0001127602-10-009300.txt : 20100323 0001127602-10-009300.hdr.sgml : 20100323 20100323115248 ACCESSION NUMBER: 0001127602-10-009300 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100312 FILED AS OF DATE: 20100323 DATE AS OF CHANGE: 20100323 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PANTALEONI ANTHONY CENTRAL INDEX KEY: 0001167366 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10765 FILM NUMBER: 10698475 MAIL ADDRESS: STREET 1: FULBRIGHT & JAWORSKI LLP STREET 2: 666 FIFTH AVE CITY: NEW YORK STATE: NY ZIP: 10103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNIVERSAL HEALTH SERVICES INC CENTRAL INDEX KEY: 0000352915 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 232077891 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 367 S GULPH RD CITY: KING OF PRUSSIA STATE: PA ZIP: 19406 BUSINESS PHONE: 6107683300 MAIL ADDRESS: STREET 1: 367 S GULPH ROAD CITY: KING OF PRUSSIA STATE: PA ZIP: 19406 4 1 form4.xml PRIMARY DOCUMENT X0303 4 2010-03-12 0000352915 UNIVERSAL HEALTH SERVICES INC UHS 0001167366 PANTALEONI ANTHONY FULBRIGHT & JAWORSKI LLP 666 FIFTH AVENUE NEW YORK NY 10103 1 Class B Common Stock 2010-03-12 5 J 0 E 12228 0 D 0 D Class B Common Stock 2010-03-12 5 J 0 E 12228 0 A 12228 I The AP-2 2010 GRAT Class B Common Stock 7560 I Trustee F/b/o Family Class A Common Stock 2010-03-12 5 J 0 E 17808 0 D Class B Common Stock 17808 0 D Class A Common Stock 2010-03-12 5 J 0 E 17808 0 A Class B Common Stock 17808 17808 I The AP-2 2010 GRAT Class C Common Stock 2010-03-12 5 J 0 E 2192 0 D Class B Common Stock 2192 0 D Class C Common Stock 2010-03-12 5 J 0 E 2192 0 A Class B Common Stock 2192 2192 I The AP-2 2010 GRAT On March 12, 2010, Mr. Pantaleoni transferred 17,808 shares of Class A Common Stock, 12,228 shares of Class B Common Stock and 2,192 shares of Class C Common Stock to AP-2 LLC, of which he is the sole manager. On March 12, 2010, Mr. Pantaleoni transferred a 100% membership interest in AP-2 LLC to The AP-2 2010 GRAT. These transfers resulted in a change in the form of beneficial ownership of these shares from direct to indirect. Mr. Pantaleoni's pecuniary interest in these shares is unchanged. The Class A Common Stock is convertible into Class B Common Stock on a share for share basis. The Class C Common Stock is convertible into Class B Common Stock on a share for share basis. /s/ Anthony Pantaleoni 2010-03-23 -----END PRIVACY-ENHANCED MESSAGE-----