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