0001127602-21-027835.txt : 20211029
0001127602-21-027835.hdr.sgml : 20211029
20211029170706
ACCESSION NUMBER: 0001127602-21-027835
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211027
FILED AS OF DATE: 20211029
DATE AS OF CHANGE: 20211029
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: 211364196
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
2021-10-27
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 and CEO
Class B Common Stock
2021-10-27
4
J
0
51578
0
D
78794
I
MDM 2014 LLC as held by The Marc Daniel Miller 2020 GRAT
Class B Common Stock
2021-10-27
4
J
0
51578
0
A
97199
I
MDM 2014 LLC as held by Alan B. Miller
Class B Common Stock
2021-10-27
4
J
0
23382
0
D
35690
I
MS 2014 LLC as held by The Marni Spencer 2020 GRAT
Class B Common Stock
2021-10-27
4
J
0
23382
0
A
47562
I
MS 2014 LLC as held by Alan B. Miller
Class B Common Stock
2021-10-27
4
J
0
23382
0
D
35690
I
AMK 2014 LLC held by the Abby Miller King 2020 GRAT
Class B Common Stock
2021-10-27
4
J
0
23382
0
A
47562
I
AMK 2014 LLC as held by Alan B. Miller
Class B Common Stock
2021-10-28
4
J
0
78794
126.17
D
0
I
MDM 2014 LLC as held by The Marc Daniel Miller 2020 GRAT
Class B Common Stock
2021-10-28
4
J
0
78794
126.17
A
175993
I
MDM 2014 LLC as held by Alan B. Miller
Class B Common Stock
2021-10-28
4
J
0
35690
126.17
D
0
I
MS 2014 LLC as held by The Marni Spencer 2020 GRAT
Class B Common Stock
2021-10-28
4
J
0
35690
126.17
A
83252
I
MS 2014 LLC as held by Alan B. Miller
Class B Common Stock
2021-10-28
4
J
0
35690
126.17
D
0
I
AMK 2014 LLC held by the Abby Miller King 2020 GRAT
Class B Common Stock
2021-10-28
4
J
0
35690
126.17
A
83252
I
AMK 2014 LLC as held by Alan B. Miller
Class B Common Stock
145901
D
Class B Common Stock
16748
I
AMK 2014 LLC held by The Abby Danielle Miller 2002 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
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
2021-10-27
4
J
0
38684
0
D
Class B Common Stock
38684
59095
I
MDM 2014 LLC as held by The Marc Daniel Miller 2020 GRAT
Class A Common Stock
2021-10-27
4
J
0
38684
0
A
Class B Common Stock
38684
72900
I
MDM 2014 LLC as held by Alan B. Miller
Class A Common Stock
2021-10-27
4
J
0
23382
0
D
Class B Common Stock
23382
35690
I
MS 2014 LLC as held by The Marni Spencer 2020 GRAT
Class A Common Stock
2021-10-27
4
J
0
23382
0
A
Class B Common Stock
23382
47562
I
MS 2014 LLC as held by Alan B. Miller
Class A Common Stock
2021-10-27
4
J
0
23382
0
D
Class B Common Stock
23382
35690
I
AMK 2014 LLC held by the Abby Miller King 2020 GRAT
Class A Common Stock
2021-10-27
4
J
0
23382
0
A
Class B Common Stock
23382
47562
I
AMK 2014 LLC as held by Alan B. Miller
Class A Common Stock
2021-10-28
4
J
0
59095
126.17
D
Class B Common Stock
59095
0
I
MDM 2014 LLC as held by The Marc Daniel Miller 2020 GRAT
Class A Common Stock
2021-10-28
4
J
0
59095
126.17
A
Class B Common Stock
59095
131995
I
MDM 2014 LLC as held by Alan B. Miller
Class A Common Stock
2021-10-28
4
J
0
35690
126.17
D
Class B Common Stock
35690
0
I
MS 2014 LLC as held by The Marni Spencer 2020 GRAT
Class A Common Stock
2021-10-28
4
J
0
35690
126.17
A
Class B Common Stock
35690
83252
I
MS 2014 LLC as held by Alan B. Miller
Class A Common Stock
2021-10-28
4
J
0
35690
126.17
D
Class B Common Stock
35690
0
I
AMK 2014 LLC held by the Abby Miller King 2020 GRAT
Class A Common Stock
2021-10-28
4
J
0
35690
126.17
A
Class B Common Stock
35690
83252
I
AMK 2014 LLC as held by Alan B. Miller
Class A Common Stock
Class B Common Stock
99063
99063
I
The Marni Spencer 2002 Trust
Class A Common Stock
Class B Common Stock
139195
139195
I
The Marc Daniel Miller 2002 Trust
Class A Common Stock
Class B Common Stock
99063
99063
I
The Abby Danielle 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
18005
18005
I
MDM 2014 LLC held by The Marc Daniel Miller 2002 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
61500
61500
I
Marc Daniel Miller Subtrust u/ Miller Family 2017 Trust
Class A Common Stock
Class B Common Stock
61500
61500
I
Marni Spencer Subtrust u/ Miller Family 2017 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 Abby Miller King Family 2012 Trust
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
532194
532194
I
A. Miller Family, LLC
Class A Common Stock
Class B Common Stock
61500
61500
I
Abby Danielle Miller Subtrust u/ Miller Family 2017 Trust
On October 27, 2021, The Marc Daniel Miller 2020 LLC GRAT distributed 25.78899% of the MDM 2014 LLC to Alan B. Miller. Mr. Alan B. 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 2020 LLC GRAT. The MDM 2014 LLC holds 200,000 shares of Class B Common Stock and 150,000 shares of Class A Common Stock.
On October 27, 2021, The Marni Spencer 2020 LLC GRAT distributed 23.38211% of the MS 2014 LLC to Alan B. Miller. Mr. Alan B. 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 2020 LLC GRAT. The MS 2014 LLC holds 100,000 shares of Class B Common Stock and 100,000 shares of Class A Common Stock. Mr. Marc D. Miller disclaims any beneficial interest in the assets of The Marni Spencer 2020 LLC GRAT.
On October 27, 2021, The Abby Miller King 2020 LLC GRAT distributed 23.38211% of the AMK 2014 LLC to Alan B. Miller. Mr. Alan B. 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 2020 LLC GRAT. The AMK 2014 LLC holds 100,000 shares of Class B Common Stock and 100,000 shares of Class A Common Stock. Mr. Marc D. Miller disclaims any beneficial interest in the assets of The Abby Miller King 2020 LLC GRAT.
On October 28, 2021, Alan B. Miller withdrew a 39.39690% interest in the MDM 2014 LLC (corresponding to 59,095 shares of Class A common stock and 78,794 shares of Class B common stock) from the Marc Daniel Miller 2020 LLC GRAT. In exchange for the MDM 2014 LLC interests, Alan B. Miller contributed to the Marc Daniel Miller 2020 LLC GRAT a promissory note for the value of such interests. The withdrawal of MDM 2014 interests from the Marc Daniel Miller 2020 LLC GRAT resulted in a decrease in the number of shares Alan B. Miller beneficially owns indirectly through the Marc Daniel Miller 2020 LLC GRAT and a corresponding increase in the number of shares Alan B. Miller beneficially owns indirectly through the MDM 2014 LLC. This withdrawal of MDM 2014 LLC interests from the Marc Daniel Miller 2020 LLC GRAT constitutes a change in form of but not the amount of beneficial ownership of the shares.
On October 28, 2021, Alan B. Miller withdrew a 35.69034% interest in the MS 2014 LLC (corresponding to 35,690 shares of each of Class A and Class B common stock) from the Marni Spencer 2020 LLC GRAT. In exchange for the MS 2014 LLC interests, Alan B. Miller contributed to the Marni Spencer 2020 LLC GRAT a promissory note for the value of such interests. The withdrawal of MS 2014 interests from the Marni Spencer 2020 LLC GRAT resulted in a decrease in the number of shares Alan B. Miller beneficially owns indirectly through the Marni Spencer 2020 LLC GRAT and a corresponding increase in the number of shares Alan B. Miller beneficially owns indirectly through the MS 2014 LLC. This withdrawal of MS 2014 LLC interests from the Marni Spencer 2020 LLC GRAT constitutes a change in form of but not the amount of beneficial ownership of the shares. Mr. Marc D. Miller disclaims any beneficial interest in the assets of The Marni Spencer 2020 GRAT.
On October 28, 2021, Alan B. Miller withdrew a 35.69034% interest in the AMK 2014 LLC (corresponding to 35,690 shares of each of Class A and Class B common stock) from the Abby Miller King 2020 LLC GRAT. In exchange for the AMK 2014 LLC interests, Alan B. Miller contributed to the Abby Miller King 2020 LLC GRAT a promissory note for the value of such interests. The withdrawal of AMK 2014 interests from the Abby Miller King 2020 LLC GRAT resulted in a decrease in the number of shares Alan B. Miller beneficially owns indirectly through the Abby Miller King 2020 LLC GRAT and a corresponding increase in the number of shares Alan B. Miller beneficially owns indirectly through the AMK 2014 LLC. This withdrawal of AMK 2014 LLC interests from the Abby Miller King 2020 LLC GRAT constitutes a change in form of but not the amount of beneficial ownership of the shares. Mr. Marc D. Miller disclaims any beneficial interest in the assets of The Marni Spencer 2020 GRAT.
The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
Immediately.
Not Applicable.
/s/ Steve Filton, Attorney in Fact for Marc D. Miller
2021-10-29