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