0001181431-12-028552.txt : 20120508
0001181431-12-028552.hdr.sgml : 20120508
20120508194122
ACCESSION NUMBER: 0001181431-12-028552
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120504
FILED AS OF DATE: 20120508
DATE AS OF CHANGE: 20120508
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HCA Holdings, Inc.
CENTRAL INDEX KEY: 0000860730
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062]
IRS NUMBER: 273865930
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: ONE PARK PLZ
CITY: NASHVILLE
STATE: TN
ZIP: 37203
BUSINESS PHONE: 6153449551
MAIL ADDRESS:
STREET 1: ONE PARK PLAZA
CITY: NASHVILLE
STATE: TN
ZIP: 37203
FORMER COMPANY:
FORMER CONFORMED NAME: HCA INC/TN
DATE OF NAME CHANGE: 20010627
FORMER COMPANY:
FORMER CONFORMED NAME: HCA THE HEALTHCARE CO
DATE OF NAME CHANGE: 20010419
FORMER COMPANY:
FORMER CONFORMED NAME: COLUMBIA HCA HEALTHCARE CORP
DATE OF NAME CHANGE: 20000502
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HERCULES HOLDING II, LLC
CENTRAL INDEX KEY: 0001392780
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11239
FILM NUMBER: 12823299
BUSINESS ADDRESS:
STREET 1: ONE PARK PLAZA
CITY: NASHVILLE
STATE: TN
ZIP: 37203
BUSINESS PHONE: 6153449551
MAIL ADDRESS:
STREET 1: ONE PARK PLAZA
CITY: NASHVILLE
STATE: TN
ZIP: 37203
4
1
rrd344271.xml
FORM 4
X0305
4
2012-05-04
0
0000860730
HCA Holdings, Inc.
HCA
0001392780
HERCULES HOLDING II, LLC
C/O KOHLBERG KRAVIS ROBERTS & CO. L.P.
9 WEST 57TH STREET, SUITE 4200
NEW YORK
NY
10019
0
0
1
0
Common Stock, par value $0.01 per share
2012-05-04
4
J
0
1643976
0
D
268545193
D
This transaction represents a distribution by Hercules Holding II, LLC of 1,643,976 shares of HCA Holdings, Inc.'s common stock, par value $.01 per share ("Common Stock"), to certain members of Hercules Holding II, LLC, for no consideration and in amounts less than the pro rata interest of such members, which shares had previously been indirectly beneficially owned by such members through their direct ownership in Hercules Holding II, LLC.
Following the distribution of the shares of Common Stock reported herein, Hercules Holding II, LLC will directly hold 268,545,193 shares of Common Stock. The membership interests of Hercules Holding II, LLC are held by a private investor group, including affiliates of Bain Capital Partners, LLC, Kohlberg Kravis Roberts & Co. L.P. and HCA Holdings, Inc. founder Dr. Thomas F. Frist, Jr. Each of such persons, other than Hercules Holding II, LLC, disclaims membership in any such group and disclaims beneficial ownership of these securities, except to the extent of its pecuniary interest therein.
/s/ John M. Franck II, by power of attorney for Hercules Holding II, LLC
2012-05-08