0001127602-19-034918.txt : 20191213
0001127602-19-034918.hdr.sgml : 20191213
20191213104631
ACCESSION NUMBER: 0001127602-19-034918
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191212
FILED AS OF DATE: 20191213
DATE AS OF CHANGE: 20191213
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Miller Marc D
CENTRAL INDEX KEY: 0001315495
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-10765
FILM NUMBER: 191283724
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
2019-12-12
0000352915
UNIVERSAL HEALTH SERVICES INC
UHS
0001315495
Miller Marc D
UNIVERSAL HEALTH SERVICES, INC.
367 SOUTH GULPH ROAD
KING OF PRUSSIA
PA
19406
1
1
President
Class B Common Stock
2019-12-12
4
M
0
45000
144.70
A
186209
D
Class B Common Stock
2019-12-12
4
F
0
40097
144.70
D
146112
D
Class B Common Stock
2019-12-12
4
M
0
30000
144.70
A
176112
D
Class B Common Stock
2019-12-12
4
F
0
26890
144.70
D
149222
D
Class B Common Stock
2019-12-12
4
S
0
8013
144.5144
D
141209
D
Class B Common Stock
62275
I
AMK 2014 LLC as held by The Abby Miller King 2019 GRAT
Class B Common Stock
16748
I
AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
Class B Common Stock
20977
I
AMK 2014 LLC held by the Abby Miller King 2018 GRAT
Class B Common Stock
74660
I
MDM 2014 LLC as held by The Marc Daniel Miller 2018 GRAT
Class B Common Stock
101333
I
MDM 2014 LLC as held by The Marc Daniel Miller 2019 GRAT
Class B Common Stock
24007
I
MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class B Common Stock
20977
I
MS 2014 LLC as held by The Marni Spencer 2018 GRAT
Class B Common Stock
62275
I
MS 2014 LLC as held by The Marni Spencer 2019 GRAT
Class B Common Stock
16748
I
MS 2014 LLC held by The Marni Spencer 2002 Trust
Class B Common Stock
22815
I
The Abby Danielle Miller 2002 Trust
Class B Common Stock
55763
I
The Abby Miller King 2011 Family Trust
Class B Common Stock
44110
I
The Marc Daniel Miller 2002 Trust
Class B Common Stock
59900
I
The Marc Daniel Miller 2011 Family Trust
Class B Common Stock
43247
I
The Marni Spencer 2002 Trust
Class B Common Stock
55763
I
The Marni Spencer 2011 Family Trust
Class A Common Stock
2019-12-12
4
J
0
61500
0
D
Class B Common Stock
61500
99063
I
The Abby Danielle Miller 2002 Trust
Class A Common Stock
2019-12-12
4
J
0
61500
0
A
Class B Common Stock
61500
61500
I
Abby Danielle Miller Subtrust u/ Miller Family 2017 Trust
Class A Common Stock
2019-12-12
4
J
0
61500
0
D
Class B Common Stock
61500
139195
I
The Marc Daniel Miller 2002 Trust
Class A Common Stock
2019-12-12
4
J
0
61500
0
A
Class B Common Stock
61500
61500
I
Marc Daniel Miller Subtrust u/ Miller Family 2017 Trust
Class A Common Stock
2019-12-12
4
J
0
61500
0
D
Class B Common Stock
61500
99063
I
The Marni Spencer 2002 Trust
Class A Common Stock
2019-12-12
4
J
0
61500
0
A
Class B Common Stock
61500
61500
I
Marni Spencer Subtrust u/ Miller Family 2017 Trust
Option To Purchase Class B Common Stock
117.29
2019-12-12
4
M
0
45000
0
D
2020-03-17
Class B Common Stock
45000
0
D
Option To Purchase Class B Common Stock
118.62
2019-12-12
4
M
0
30000
0
D
2021-03-22
Class B Common Stock
30000
70000
D
Class A Common Stock
Class B Common Stock
532194
532194
I
A. Miller Family, LLC
Class A Common Stock
Class B Common Stock
20977
20977
I
AMK 2014 LLC as held by The Abby Miller King 2018 GRAT
Class A Common Stock
Class B Common Stock
62275
62275
I
AMK 2014 LLC as held by the Abby Miller King 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
118900
118900
I
By The Abby Miller King Family 2012 Trust
Class A Common Stock
Class B Common Stock
118900
118900
I
By The Marc Daniel Miller Family 2012 Trust
Class A Common Stock
Class B Common Stock
118900
118900
I
By The Marni Spencer Family 2012 Trust
Class A Common Stock
Class B Common Stock
55996
55996
I
MDM 2014 LLC as held by the Marc Daniel Miller 2018 GRAT
Class A Common Stock
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
18005
18005
I
MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class A Common Stock
Class B Common Stock
20977
20977
I
MS 2014 LLC as held by The Marni Spencer 2018 GRAT
Class A Common Stock
Class B Common Stock
62275
62275
I
MS 2014 LLC as held by The Marni Spencer 2019 GRAT
Class A Common Stock
Class B Common Stock
16748
16748
I
MS 2014 LLC held by The Marni Spencer 2002 Trust
The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
On December 12, 2019 61,500 Class A shares were transferred from The Abby Danielle Miller 2002 Trust to Abby Danielle Miller Subtrust created under The Miller Family 2017 Trust. Marc D. Miller disclaims a pecuniary interest in these shares.
Immediately.
Not Applicable.
On December 12, 2019 61,500 Class A shares were transferred from The Marc Daniel Miller 2002 Trust to Marc Daniel Miller Subtrust created under The Miller Family 2017 Trust. Marc D. Miller's children are beneficiaries of the Marc Daniel Miller Subtrust created under The Miller Family 2017 Trust.
On December 12, 2019 61,500 Class A shares were transferred from The Marni Spencer 2002 Trust to Marni Spencer Subtrust created under The Miller Family 2017 Trust. Marc D. Miller disclaims a pecuniary interest in these shares.
Option vested ratably on each of 3/18/2016, 3/18/2017, 3/18/2018 and 3/18/2019.
Option vests ratably on each of 3/23/2017, 3/23/2018, 3/23/2019 and 3/23/2020.
/s/ Marc D. Miller
2019-12-13