0001127602-21-012294.txt : 20210330
0001127602-21-012294.hdr.sgml : 20210330
20210330125602
ACCESSION NUMBER: 0001127602-21-012294
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210329
FILED AS OF DATE: 20210330
DATE AS OF CHANGE: 20210330
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: 21785187
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
2021-03-29
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
Executive Chairman
Class B Common Stock
2021-03-29
4
F
0
1706
135.15
D
702377
D
Class B Common Stock
150000
I
Abby Miller King 2020 GRAT
Class B Common Stock
24180
I
AMK 2014 LLC as held by The Abby Miller King 2019 GRAT
Class B Common Stock
59072
I
AMK 2014 LLC as held by The Abby Miller King 2020 GRAT
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
200000
I
Marc Daniel Miller 2020 GRAT
Class B Common Stock
150000
I
Marni Spencer 2020 GRAT
Class B Common Stock
45621
I
MDM 2014 LLC as held by the Marc Daniel Miller 2019 GRAT
Class B Common Stock
130372
I
MDM 2014 LLC as held by the Marc Daniel Miller 2020 GRAT
Class B Common Stock
24007
I
MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class B Common Stock
24180
I
MS 2014 LLC as held by The Marni Spencer 2019 GRAT
Class B Common Stock
59072
I
MS 2014 LLC as held by The Marni Spencer 2020 GRAT
Class B Common Stock
16748
I
MS 2014 LLC held by The Marni Spencer 2002 Trust
Class B Common Stock
9810
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
Mr. Miller disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Miller is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
/s/ Steve Filton, Attorney-in-Fact for Alan B. Miller
2021-03-30