0001179110-21-010052.txt : 20211110
0001179110-21-010052.hdr.sgml : 20211110
20211110171555
ACCESSION NUMBER: 0001179110-21-010052
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211109
FILED AS OF DATE: 20211110
DATE AS OF CHANGE: 20211110
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ORTENZIO ROBERT A
CENTRAL INDEX KEY: 0000918697
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34465
FILM NUMBER: 211397818
MAIL ADDRESS:
STREET 1: 4718 OLD GETTYSBURG RD
STREET 2: POST OFFICE BOX 2034
CITY: MECHANICSBURG
STATE: PA
ZIP: 30309
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SELECT MEDICAL HOLDINGS CORP
CENTRAL INDEX KEY: 0001320414
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060]
IRS NUMBER: 000000000
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: C/O SELECT MEDICAL CORP
STREET 2: 4714 GETTYSBURG RD
CITY: MECHANICSBURG
STATE: PA
ZIP: 17055
BUSINESS PHONE: 717-972-1100
MAIL ADDRESS:
STREET 1: C/O SELECT MEDICAL CORP
STREET 2: 4714 GETTYSBURG RD
CITY: MECHANICSBURG
STATE: PA
ZIP: 17055
4
1
edgar.xml
FORM 4 -
X0306
4
2021-11-09
0
0001320414
SELECT MEDICAL HOLDINGS CORP
SEM
0000918697
ORTENZIO ROBERT A
C/O SELECT MEDICAL HOLDINGS CORPORATION
4714 GETTYSBURG ROAD
MECHANICSBURG
PA
17055
1
1
0
0
Exec. Chairman and Co-Founder
Common Stock
2021-11-09
4
G
0
235211
0
A
5450174
D
Common Stock
1529000
I
By the Robert A. Ortenzio Descendants Trust
Common Stock
1445195
I
By the Rocco A. Ortenzio Separate Non-Exempt Descendants Trust
Common Stock
3804805
I
By the Rocco A. Ortenzio Separate Exempt Descendants Trust
Common Stock
0
I
By the Robert A. Ortenzio October 2019 GRAT
Common Stock
652092
I
By the Robert A. Ortenzio July 2020 GRAT
Common Stock
274945
I
By the Rocco A. Ortenzio 2014 Trust for Robert A. Ortenzio
Common Stock
141868
I
By the Robert A. Ortenzio 2014 Trust for Bryan A. Ortenzio
Common Stock
141868
I
By the Robert A. Ortenzio 2014 Trust for Kevin M. Ortenzio
Common Stock
141867
I
By the Robert A. Ortenzio 2014 Trust for Madeline G. Ortenzio
235,211 shares were previously owned by, and were contributed by, The Robert A. Ortenzio October 2019 GRAT to Robert Ortenzio.
The reporting person beneficially owns the reported securities indirectly, but disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
87,315 shares were previously owned by, and were contributed by, The Robert A. Ortenzio October 2019 GRAT to The Robert A. Ortenzio 2014 Trust FBO Bryan A. Ortenzio.
87,315 shares were previously owned by, and were contributed by, The Robert A. Ortenzio October 2019 GRAT to The Robert A. Ortenzio 2014 Trust FBO Kevin M. Ortenzio.
87,315 shares were previously owned by, and were contributed by, The Robert A. Ortenzio October 2019 GRAT to The Robert A. Ortenzio 2014 Trust FBO Madeline G. Ortenzio.
218,276 shares were previously owned by, and were contributed by, The Rocco A. Ortenzio October 2019 GRAT to The Rocco A. Ortenzio 2014 Trust FBO Robert A. Ortenzio.
/s/ Michael E. Tarvin, as attorney-in-fact
2021-11-10