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