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