0001127602-14-032197.txt : 20141114 0001127602-14-032197.hdr.sgml : 20141114 20141114093906 ACCESSION NUMBER: 0001127602-14-032197 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141112 FILED AS OF DATE: 20141114 DATE AS OF CHANGE: 20141114 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Marc D CENTRAL INDEX KEY: 0001315495 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-10765 FILM NUMBER: 141220918 MAIL ADDRESS: STREET 1: 367 SOUTH GULPH ROAD CITY: KING OF PRUSSIA STATE: PA ZIP: 19406 4/A 1 form4a.xml PRIMARY DOCUMENT X0306 4/A 2014-11-12 2014-11-13 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 2014-11-12 4 J 0 100000 0 A 100000 I AMK 2014 LLC Class B Common Stock 2014-11-12 4 J 0 100000 0 A 100000 I MDM 2014 LLC Class B Common Stock 2014-11-12 4 J 0 100000 0 A 100000 I MS 2014 LLC Class A Common Stock 2014-11-12 4 J 0 100000 0 A Class B Common Stock 100000 100000 I AMK 2014 LLC Class A Common Stock 2014-11-12 4 J 0 150000 0 A Class B Common Stock 150000 150000 I MDM 2014 LLC Class A Common Stock 2014-11-12 4 J 0 100000 0 A Class B Common Stock 100000 100000 I MS 2014 LLC This Amendment is to correct the date reported in Footnote 1 to November 12, 2014. On November 12, 2014, Mr. Alan B. Miller transferred 150,000 shares of Class A Common Stock to the MDM 2014 LLC and transferred 100,000 shares of Class A Common Stock to each of the AMK 2014 LLC and the MS 2014 LLC. On November 12, 2014, Mr. Alan B. Miller transferred 100,000 shares of Class B Common Stock to each of the AMK 2014 LLC, the MDM 2014 LLC and the MS 2014 LLC. These shares were previously directly held by Mr. Alan B. Miller and the transfer resulted in a change of beneficial ownership from direct to indirect. Mr. Alan B. Miller's pecuniary interest in these shares is unchanged. It is contemplated that following the transfers referred to above, the 100% ownership interest in the AMK 2014 LLC will be transferred to The Abby Miller King 2014 GRAT. The 100% ownership interest in the MDM 2014 LLC will be transferred to The Marc Daniel Miller 2014 GRAT. The 100% ownership interest in the MS 2014 LLC will be transferred to The Marni Spencer 2014 GRAT. Mr. Alan B. Miller's pecuniary interest in these shares will be unchanged. The Class A Common Stock is convertible into Class B Common Stock on a share for share basis. Immediately Not Applicable /s/ Marc D. Miller 2014-11-14