-----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, LpF4LrXgg4yEc0SEfrizizPlPQZXzIJs2+CL/3x5qgmRr/15o4rhZJVT84l+AkHr EGI285p0yboy5Dhq+JcaoQ== 0001181431-04-028320.txt : 20040528 0001181431-04-028320.hdr.sgml : 20040528 20040528120151 ACCESSION NUMBER: 0001181431-04-028320 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040526 FILED AS OF DATE: 20040528 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: 04837321 MAIL ADDRESS: STREET 1: 367 SOUTH GULPH ROAD CITY: KING 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 rrd43850.xml X0202 4 2004-05-26 0 0000352915 UNIVERSAL HEALTH SERVICES INC UHS 0001181031 MILLER ALAN B 367 SOUTH GULPH ROAD KING OF PRUSSIA PA 19406 1 1 1 0 Chairman, President & CEO Class A Common Stock 2004-05-26 4 G 0 750066 D Class B Common Stock 750066 1587300 D Class A Common Stock 2004-05-26 4 G 0 750066 A Class B Common Stock 750066 750066 I The Alan B. Miller 2004 GRAT Class A Common Stock Class B Common Stock 949934 949934 I See footnote (5) The Issuer's Class A Common Stock (the "Class A Common Stock") is convertible into Class B Common Stock of the Issuer on a 1-for-1 basis. Alan B. Miller transferred 750,066 shares of Class A Common Stock on May 26, 2004 to The Alan B. Miller 2004 GRAT (the "GRAT"). The Trustees of the GRAT are Marc D. Miller and Anthony Pantaleoni. Immediately Not Applicable Includes 200,000 shares of Class A Common Stock which are beneficially owned by Mr. Miller and are held by Mr. Miller in Trust for the benefit of his spouse; 305,487 shares of Class A Common Stock which are held by three trusts for the benefit of Mr. Miller and certain members of his family; and 444,447 shares of Class A Common Stock which are held by A. Miller Family, LLC Alan B. Miller 2004-05-28 -----END PRIVACY-ENHANCED MESSAGE-----