0001209191-17-030356.txt : 20170505
0001209191-17-030356.hdr.sgml : 20170505
20170505164128
ACCESSION NUMBER: 0001209191-17-030356
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170503
FILED AS OF DATE: 20170505
DATE AS OF CHANGE: 20170505
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: FRIST THOMAS F III
CENTRAL INDEX KEY: 0001223892
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11239
FILM NUMBER: 17818952
MAIL ADDRESS:
STREET 1: 3100 WEST END AVENUE SUITE 1225
CITY: NASHVILLE
STATE: TN
ZIP: 37203
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-03
0
0000860730
HCA Holdings, Inc.
HCA
0001223892
FRIST THOMAS F III
3100 WEST END AVENUE
NASHVILLE
TN
37203
1
0
1
0
Common Stock, par value $0.01 per share
2017-02-22
5
G
0
E
2348330.3574
0.00
A
2348330.3574
I
Held indirectly through Hercules Holding II by Trusts for Children
Common Stock, par value $0.01 per share
2017-05-03
4
A
0
2112
0.00
A
2112
D
Common Stock, par value $0.01 per share
1745571.4876
I
Held indirectly through Hercules Holding II by The Thomas F. Frist III 2016 Annuity Trust I
Common Stock, par value $0.01 per share
9496.54
I
Held indirectly through Hercules Holding II by Spouse
Common Stock, par value $0.01 per share
732967.8401
I
Held indirectly through Hercules Holding II by Thomas F. Frist III 2007 Family Trust
Common Stock, par value $0.01 per share
814696.3372
I
Held indirectly through Hercules Holding II by The Thomas F. Frist III 2016 Annuity Trust II
Common Stock, par value $0.01 per share
664660.6277
I
Held indirectly through Hercules Holding II by Thomas F. Frist III 2016 Annuity Trust III
Common Stock, par value $0.01 per share
117895.9175
I
Held indirectly through Hercules Holding II by The Thomas F. Frist III 2016 Annuity Trust IV
Common Stock, par value $0.01 per share
448980.5054
I
Held indirectly through Hercules Holding II by Thomas F. Frist III 2015 Annuity Trust I
Common Stock, par value $0.01 per share
43824.5688
I
Held indirectly through Hercules Holding II by Thomas F. Frist III 2015 Annuity Trust III
Common Stock, par value $0.01 per share
28489.62
I
Held indirectly through Hercules Holding II by Trusts for Children
Common Stock, par value $0.01 per share
36629163.8593
I
Held indirectly through Hercules Holding II by Frisco, Inc.
Hercules Holding II ("Hercules") holds 68,912,077 shares of the common stock of HCA Holdings, Inc. Hercules is held by a private investor group, including affiliates of HCA Inc. founder Dr. Thomas F. Frist, Jr. The Reporting Person may be deemed to be a member of a group exercising voting and investment control over the shares of common stock of HCA Holdings, Inc. held by Hercules. However, the Reporting Person disclaims membership in any such group and disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein.
The Reporting Person may be deemed to be the beneficial owner of the aggregate (i) 28,489.62 units of Hercules held by certain trusts for the benefit of the Reporting Person's children, each of which his sister serves as trustee, and (ii) 2,348,330.3574 units of Hercules held by certain trusts for the benefit of the Reporting Person's children, each of which his wife serves as trustee, and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Holdings, Inc.
Represents common stock underlying 2,112 restricted share units which shall vest on the sooner of the date of the 2018 annual shareholders' meeting of HCA Holdings, Inc. or the first anniversary of the grant date. Vested shares will be delivered to the Reporting Person on the date the Reporting Person ceases to be a member of the Board of Directors of HCA Holdings, Inc.
The Reporting Person is trustee of (i) The Thomas F. Frist III 2016 Annuity Trust I, (ii) The Thomas F. Frist III 2016 Annuity Trust II, (iii) The Thomas F. Frist III 2016 Annuity Trust III, (iv) The Thomas F. Frist III 2016 Annuity Trust IV, (v) The Thomas F. Frist III 2015 Annuity Trust I and (vi) The Thomas F. Frist III 2015 Annuity Trust III and may be deemed to be the beneficial owner of the units of Hercules held by these trusts and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Holdings, Inc.
The Reporting Person may be deemed to have an indirect beneficial ownership in respect of 9,496.54 units of Hercules, through an indirect pecuniary interest in such units held by his wife, and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Holdings, Inc.
The Reporting Person's wife is trustee of The Thomas F. Frist III 2007 Family Trust, and the Reporting Person may be deemed to be the beneficial owner of the units of Hercules held by such trust and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Holdings, Inc.
The Reporting Person may be deemed to share voting and dispositive power with respect to 36,629,163.8593 shares of HCA Holdings, Inc. beneficially owned by Frisco, Inc. by virtue of his position as a director of Frisco, Inc. Frisco, Inc. has beneficial ownership of 36,629,163.8593 units of Hercules and therefore may be deemed to own indirectly the same number of shares of common stock of HCA Holdings, Inc.
/s/ Natalie Harrison Cline, Attorney-in-Fact
2017-05-05