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