-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, H4nlSiqlXx14rBwrAzcVwDTkYOipy0mtoBayBtC3GLDLxmwCK3T8Xv8UT08otP1a hwr4TFmJk48xi0/cP24m8A== 0001181431-04-003986.txt : 20040123 0001181431-04-003986.hdr.sgml : 20040123 20040123095054 ACCESSION NUMBER: 0001181431-04-003986 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040121 FILED AS OF DATE: 20040123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOTZ ROBERT H CENTRAL INDEX KEY: 0001079806 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10765 FILM NUMBER: 04539290 BUSINESS ADDRESS: STREET 1: C/O MIKASA STREET 2: 20633 S FORDYCE AVENUE CITY: LONG BEACH STATE: CA ZIP: 90810 MAIL ADDRESS: STREET 1: C/O MIKASA STREET 2: 20633 S FORDYCE AVENUE CITY: LONG BEACH STATE: CA ZIP: 90810 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 rrd29648.xml X0201 42004-01-210 0000352915 UNIVERSAL HEALTH SERVICES INC UHS 0001079806 HOTZ ROBERT H HOULIHAN LOKEY HOWARD & ZUKIN 685 THIRD AVENUE NEW YORK NY 10017 1000Phantom Stock2004-01-214A06954.22AClass B Common Stock693912.084D1 for 1These shares of Phantom Stock are payable in cash, pursuant to the UHS Deferred Compensation Plan for UHS Board of Directors (the "Plan"). 1/5 of these shares of Phantom Stock are payable annually based on the closing price of the Common Stock on December 31 for each of 2008, 2009, 2010, 2011 and 2012.Robert H. Hotz2004-01-23 -----END PRIVACY-ENHANCED MESSAGE-----