0001127602-13-002573.txt : 20130124
0001127602-13-002573.hdr.sgml : 20130124
20130124155153
ACCESSION NUMBER: 0001127602-13-002573
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130123
FILED AS OF DATE: 20130124
DATE AS OF CHANGE: 20130124
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: 13545588
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
X0306
4
2013-01-23
0000352915
UNIVERSAL HEALTH SERVICES INC
UHS
0001167366
PANTALEONI ANTHONY
FULBRIGHT & JAWORSKI LLP
666 FIFTH AVENUE
NEW YORK
NY
10103
1
Class B Common Stock
2013-01-23
4
J
0
4656
0
D
7572
I
AP-2 LLC
Class B Common Stock
2013-01-23
4
J
0
4656
0
A
10867
D
Class B Common Stock
2013-01-23
4
J
0
7572
0
D
0
I
AP-2 LLC
Class B Common Stock
7560
I
Trustee F/b/o Family
Class A Common Stock
2013-01-23
4
J
0
17808
0
A
Class B Common Stock
17808
17808
D
Class A Common Stock
2013-01-23
4
J
0
17808
0
D
Class B Common Stock
17808
0
I
AP-2 LLC
On Janaury 23, 2013, AP-2 LLC transferred 4,656 shares of Class B Common Stock to Anthony Pantaleoni. These shares were previously indirectly held by Mr. Pantaleoni and the transfer resulted in a change of beneficial ownership from indirect to direct.
On Janaury 23, 2013, AP-2 LLC distributed 7,572 shares of Class B Common Stock to Anthony Pantaleoni's children.
The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
On Janaury 23, 2013, AP-2 LLC transferred 17,808 shares of Class A Common Stock to Anthony Pantaleoni. These shares were previously indirectly held by Mr. Pantaleoni and the transfer resulted in a change of beneficial ownership from indirect to direct.
Immediately.
/s/ Anthony Pantaleoni
2013-01-24