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