0001127602-12-021425.txt : 20120703 0001127602-12-021425.hdr.sgml : 20120703 20120703140631 ACCESSION NUMBER: 0001127602-12-021425 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120702 FILED AS OF DATE: 20120703 DATE AS OF CHANGE: 20120703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Marc D CENTRAL INDEX KEY: 0001315495 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10765 FILM NUMBER: 12943789 MAIL ADDRESS: STREET 1: 367 SOUTH GULPH ROAD CITY: KING OF PRUSSIA STATE: PA ZIP: 19406 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 X0306 4 2012-07-02 0000352915 UNIVERSAL HEALTH SERVICES INC UHS 0001315495 Miller Marc D UNIVERSAL HEALTH SERVICES, INC. 367 SOUTH GULPH ROAD KING OF PRUSSIA PA 19406 1 1 President Class B Common Stock 2012-07-02 5 G 0 E 100000 0 A 100000 I By The Abby Miller King 2012 GRAT (A) Class B Common Stock 2012-07-02 5 G 0 E 100000 0 A 100000 I By The Marc Daniel Miller 2012 GRAT (A) Class B Common Stock 2012-07-02 5 G 0 E 100000 0 A 100000 I By The Marni Spencer 2012 GRAT (A) Class B Common Stock 2012-07-02 4 J 0 6083 0 D 16615 I By The Abby Miller King 2010 GRAT (A) Class B Common Stock 2012-07-02 4 J 0 6083 0 D 16615 I By The Marc Daniel Miller 2010 GRAT (A) Class B Common Stock 2012-07-02 4 J 0 6083 0 D 16615 I By The Marni Spencer 2010 GRAT (A) Class B Common Stock 29191 D Class B Common Stock 25863 I The Abby Danielle Miller 2002 Trust Class B Common Stock 59900 I The Abby Miller King 2011 Family Trust Class B Common Stock 25863 I The Marc Daniel Miller 2002 Trust Class B Common Stock 59900 I The Marc Daniel Miller 2011 Family Trust Class B Common Stock 25863 I The Marni Spencer 2002 Trust Class B Common Stock 59900 I The Marni Spencer 2011 Family Trust On July 2, 2012, Mr. Alan B. Miller transferred 100,000 shares of Class B Common Stock to each of The Marc Daniel Miller 2012 GRAT (A), The Marni Spencer 2012 GRAT (A) and The Abby Miller King 2012 GRAT (A). These shares were previously directly held by Mr. Alan Miller and the transfer resulted in a change of beneficial ownership from direct to indirect. Mr. Alan Miller's pecuniary interest in these shares is unchanged. Mr. Marc Miller serves as Co-Trustee of each of these GRATs. On July 2, 2012, each of The Marc Daniel Miller 2010 GRAT (A), The Marni Spencer 2010 GRAT (A) and The Abby Miller King 2010 GRAT (A) distributed 6,083 shares of Class B Common Stock to Alan B. Miller. The transfer resulted in a change of beneficial ownership from indirect to direct. Mr. Alan B. Miller's pecuniary interest in these shares is unchanged. Marc D. Miller serves as Co-Trustee of each of these GRATs. /s/ Marc D. Miller 2012-07-03