0001127602-14-035683.txt : 20141219
0001127602-14-035683.hdr.sgml : 20141219
20141219113452
ACCESSION NUMBER: 0001127602-14-035683
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141218
FILED AS OF DATE: 20141219
DATE AS OF CHANGE: 20141219
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 ALAN B
CENTRAL INDEX KEY: 0001181031
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-10765
FILM NUMBER: 141298045
MAIL ADDRESS:
STREET 1: 367 SOUTH GULPH ROAD
CITY: KING OF PRUSSIA
STATE: PA
ZIP: 19406
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2014-12-18
0000352915
UNIVERSAL HEALTH SERVICES INC
UHS
0001181031
MILLER ALAN B
UNIVERSAL HEALTH SERVICES, INC.
367 SOUTH GULPH ROAD
KING OF PRUSSIA
PA
19406
1
1
1
Chairman and CEO
Class A Common Stock
2014-12-18
4
J
0
39510
0
D
Class B Common Stock
39510
93836
I
By The Abby Miller King 2010 GRAT (B)
Class A Common Stock
2014-12-18
4
J
0
39510
0
A
Class B Common Stock
39510
4063060
D
Class A Common Stock
2014-12-18
4
J
0
52685
0
D
Class B Common Stock
52685
125108
I
By The Marc Daniel Miller 2010 GRAT (B)
Class A Common Stock
2014-12-18
4
J
0
52685
0
A
Class B Common Stock
52685
4115745
D
Class A Common Stock
2014-12-18
4
J
0
39510
0
D
Class B Common Stock
39510
93836
I
By The Marni Spencer 2010 GRAT (B)
Class A Common Stock
2014-12-18
4
J
0
39510
0
A
Class B Common Stock
39510
4155255
D
Class A Common Stock
2014-12-18
4
J
0
93836
0
D
Class B Common Stock
93836
0
I
By The Abby Miller King 2010 GRAT (B)
Class A Common Stock
2014-12-18
4
J
0
125108
0
D
Class B Common Stock
125108
0
I
By The Marc Daniel Miller 2010 GRAT (B)
Class A Common Stock
2014-12-18
4
J
0
93836
0
D
Class B Common Stock
93836
0
I
By The Marni Spencer 2010 GRAT (B)
The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
On December 18, 2014, each of The Abby Miller King 2010 GRAT (B) and The Marni Spencer 2010 GRAT (B) terminated and distributed 39,510 shares of Class A Common Stock to Alan B. Miller. On December 18, 2014, The Marc Daniel Miller 2010 GRAT (B) terminated and distributed 52,685 shares of Class A Common Stock to Alan B. Miller. The transfer resulted in a change of beneficial ownership from indirect to direct. Mr. Miller's pecuniary interest in these shares is unchanged.
On December 18, 2014, each of The Abby Miller King 2010 GRAT (B) and The Marni Spencer 2010 GRAT (B) terminated and distributed 93,836 shares of Class A Common Stock to each of The Abby Danielle Miller 2002 Trust and The Marni Spencer 2002 Trust. On December 18, 2014 The Marc Daniel Miller 2010 GRAT (B) terminated and distributed 125,108 shares of Class A Common Stock to The Marc Daniel Miller 2002 Trust.
Immediately
Not Applicable
/s/ Alan B. Miller
2014-12-19