0001127602-17-034290.txt : 20171211 0001127602-17-034290.hdr.sgml : 20171211 20171211112840 ACCESSION NUMBER: 0001127602-17-034290 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171208 FILED AS OF DATE: 20171211 DATE AS OF CHANGE: 20171211 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: 171248818 MAIL ADDRESS: STREET 1: 367 SOUTH GULPH ROAD CITY: KING OF PRUSSIA STATE: PA ZIP: 19406 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 2017-12-08 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 B Common Stock 2017-12-08 4 M 0 140000 110.34 A 1195933 D Class B Common Stock 2017-12-08 4 F 0 100317 110.34 D 1095616 D Class B Common Stock 14858 I AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust Class B Common Stock 22259 I AMK 2014 LLC held by The Abby Miller King 2015 GRAT Class B Common Stock 62883 I AMK 2014 LLC held by The Abby Miller King 2017 GRAT Class B Common Stock 55763 I By The Abby Miller King 2011 Family Trust Class B Common Stock 14858 I MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust Class B Common Stock 22259 I MDM 2014 LLC held by The Marc Daniel Miller 2015 GRAT Class B Common Stock 62883 I MDM 2014 LLC held by The Marc Daniel Miller 2017 GRAT Class B Common Stock 14858 I MS 2014 LLC held by The Marni Spencer 2002 Trust Class B Common Stock 22259 I MS 2014 LLC held by The Marni Spencer 2015 GRAT Class B Common Stock 62883 I MS 2014 LLC held by The Marni Spencer 2017 GRAT Class B Common Stock 10810 I The Alan and Jill Miller Foundation Class B Common Stock 59900 I The Marc Daniel Miller 2011 Family Trust Class B Common Stock 55763 I The Marni Spencer 2011 Family Trust Option To Purchase Class B Common Stock 53.38 2017-12-08 4 M 0 140000 0 D 2018-01-15 Class B Common Stock 140000 0 D Option vested ratably on 1/16/2017. /s/ Alan B. Miller 2017-12-11