0001127602-19-016694.txt : 20190501 0001127602-19-016694.hdr.sgml : 20190501 20190501152306 ACCESSION NUMBER: 0001127602-19-016694 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190430 FILED AS OF DATE: 20190501 DATE AS OF CHANGE: 20190501 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: 19787058 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 2019-04-30 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 2019-04-30 4 J 0 30956 0 D 20977 I AMK 2014 LLC as held by The Abby Miller King 2018 GRAT Class B Common Stock 2019-04-30 4 J 0 30956 0 A 62275 I AMK 2014 LLC as held by Alan B. Miller Class B Common Stock 2019-04-30 4 J 0 30956 0 D 20977 I MS 2014 LLC as held by The Marni Spencer 2018 GRAT Class B Common Stock 2019-04-30 4 J 0 30956 0 A 62275 I MS 2014 LLC as held by Alan B. Miller Class B Common Stock 2019-04-30 4 J 0 56437 0 D 74660 I MDM 2014 LLC as held by The Marc Daniel Miller 2018 GRAT Class B Common Stock 2019-04-30 4 J 0 56437 0 A 101333 I MDM 2014 LLC as held by Alan B. Miller Class B Common Stock 2019-04-30 4 J 0 62275 0 D 0 I AMK 2014 LLC as held by Alan B. Miller Class B Common Stock 2019-04-30 4 J 0 62275 0 A 62275 I AMK 2014 LLC as held by The Abby Miller King 2019 GRAT Class B Common Stock 2019-04-30 4 J 0 62275 0 D 0 I MS 2014 LLC as held by Alan B. Miller Class B Common Stock 2019-04-30 4 J 0 62275 0 A 62275 I MS 2014 LLC as held by The Marni Spencer 2019 GRAT Class B Common Stock 2019-04-30 4 J 0 101333 0 D 0 I MDM 2014 LLC as held by Alan B. Miller Class B Common Stock 2019-04-30 4 J 0 101333 0 A 101333 I MDM 2014 LLC as held by the Marc Daniel Miller 2019 GRAT Class B Common Stock 1156860 D Class B Common Stock 16748 I AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust Class B Common Stock 55763 I By The Abby Miller King 2011 Family Trust Class B Common Stock 24007 I MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust Class B Common Stock 16748 I MS 2014 LLC held by The Marni Spencer 2002 Trust 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 Class A Common Stock 2019-04-30 4 J 0 30956 0 D Class B Common Stock 30956 20977 I AMK 2014 LLC held by the Abby Miller King 2018 GRAT Class A Common Stock 2019-04-30 4 J 0 30956 0 A Class B Common Stock 30956 62275 I AMK 2014 LLC as held by Alan B. Miller Class A Common Stock 2019-04-30 4 J 0 30956 0 D Class B Common Stock 30956 20977 I MS 2014 LLC as held by The Marni Spencer 2018 GRAT Class A Common Stock 2019-04-30 4 J 0 30956 0 A Class B Common Stock 30956 62275 I MS 2014 LLC as held by Alan B. Miller Class A Common Stock 2019-04-30 4 J 0 42328 0 D Class B Common Stock 42328 55996 I MDM 2014 LLC as held by The Marc Daniel Miller 2018 GRAT Class A Common Stock 2019-04-30 4 J 0 42328 0 A Class B Common Stock 42328 75999 I MDM 2014 LLC as held by Alan B. Miller Class A Common Stock 2019-04-30 4 J 0 62275 0 D Class B Common Stock 62275 0 I AMK 2014 LLC as held by Alan B. Miller Class A Common Stock 2019-04-30 4 J 0 62275 0 A Class B Common Stock 62275 62275 I AMK 2014 LLC as held by The Abby Miller King 2019 GRAT Class A Common Stock 2019-04-30 4 J 0 62275 0 D Class B Common Stock 62275 0 I MS 2014 LLC as held by Alan B. Miller Class A Common Stock 2019-04-30 4 J 0 62275 0 A Class B Common Stock 62275 62275 I MS 2014 LLC as held by The Marni Spencer 2019 GRAT Class A Common Stock 2019-04-30 4 J 0 75999 0 D Class B Common Stock 75999 0 I MDM 2014 LLC as held by Alan B. Miller Class A Common Stock 2019-04-30 4 J 0 75999 0 A Class B Common Stock 75999 75999 I MDM 2014 LLC as held by The Marc Daniel Miller 2019 GRAT Class A Common Stock Class B Common Stock 16748 16748 I AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust Class A Common Stock Class B Common Stock 4155255 4155255 D Class A Common Stock Class B Common Stock 400000 400000 I Alan B. Miller Marital Trust (f/b/o Jill Miller) Class A Common Stock Class B Common Stock 18005 18005 I MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust Class A Common Stock Class B Common Stock 16748 16748 I MS 2014 LLC held by The Marni Spencer 2002 Trust Class A Common Stock Class B Common Stock 258630 258630 I The Alan B. Miller 2002 Trust On April 30, 2019, The Marc Daniel Miller 2018 GRAT distributed 28.21838% of the MDM 2014 LLC to the MDM 2014 LLC as held by Alan B. Miller, The Abby Miller King 2018 GRAT distributed 30.95556% of the AMK 2014 LLC to the AMK 2014 LLC as held by Alan B. Miller, and The Marni Spencer 2018 GRAT distributed 30.95556% of the MS 2014 LLC to the MS 2014 LLC as held by Alan B. Miller. Mr. Miller's pecuniary interest in these shares is unchanged. All distributions hereinbefore described were made pursuant to the terms of the Trust Agreement creating each 2018 GRAT. On April 30, 2019, Alan B. Miller contributed 62.27585% of AMK 2014 LLC to The Abby Miller King 2019 GRAT. These shares were held by the AMK 2014 LLC as held by Alan B. Miller. On April 30, 2019, Alan B. Miller contributed 62.27585% of MS 2014 LLC to The Marni Spencer 2019 GRAT. These shares were held by the MS 2014 LLC as held by Alan B. Miller On April 30, 2019, Alan B. Miller contributed 50.66610% of the MDM 2014 LLC to The Marc Daniel Miller 2019 GRAT. These shares were held by the MDM 2014 LLC as held by Alan B. Miller. The Class A Common Stock is convertible into Class B Common Stock on a share for share basis. Immediately. Not Applicable. immediately Not Applicable The Class A Common Stock is convertible into Class B Common Stock on a share for share basis. Immediately. Not Applicable. Immediately Not applicable. The Class A Common Stock is convertible into Class B Common Stock on a share for share basis. /s/ Steve Filton, Attorney-in-Fact for Alan B. Miller 2019-05-01