0001179110-21-010051.txt : 20211110
0001179110-21-010051.hdr.sgml : 20211110
20211110171513
ACCESSION NUMBER: 0001179110-21-010051
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 ROCCO A
CENTRAL INDEX KEY: 0000948252
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34465
FILM NUMBER: 211397806
MAIL ADDRESS:
STREET 1: SELECT MEDICAL CORP
STREET 2: 4716 OLD GETTYSBURG RD PO BOX 2034
CITY: MECHANICSBURG
STATE: PA
ZIP: 17055
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
0000948252
ORTENZIO ROCCO A
C/O SELECT MEDICAL HOLDINGS CORPORATION
4714 GETTYSBURG ROAD
MECHANICSBURG
PA
17055
1
1
0
0
Vice Chairman and Co-Founder
Common Stock
2021-11-09
4
G
0
588064
0
D
901248
D
Common Stock
3804805
I
By the Rocco 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
2136394
I
By the Rocco A. Ortenzio Revocable Trust dated 8/14/07, as amended
Common Stock
0
I
By the Rocco A. Ortenzio October 2019 GRAT
Common Stock
1630230
I
By the Rocco A. Ortenzio July 2020 GRAT
Common Stock
30601
I
By Select Investments III, L.P.
Common Stock
16182
I
By Select AP Investors, L.P.
Common Stock
10000
I
By spouse
Common Stock
274945
I
By the Rocco A. Ortenzio 2014 Trust for Robert A. Ortenzio
Common Stock
218275
I
The Rocco A. Ortenzio 2014 Trust FBO John M. Ortenzio
Common Stock
218275
I
The Rocco A. Ortenzio 2014 Trust FBO Martin J. Ortenzio
588,064 shares were previously owned by, and were contributed by, The Rocco A Ortenzio October 2019 GRAT to Rocco A. Ortenzio. Rocco A. Ortenzio then contributed the shares to the Rocco A. Ortenzio Revocable Trust DRD 8/14/2007.
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.
The shares were previously owned by, and were contributed by, The Rocco A Ortenzio October 2019 GRAT to The Rocco A. Ortenzio 2014 Trust FBO John M. Ortenzio.
The shares were previously owned by, and were contributed by, The Rocco A Ortenzio October 2019 GRAT to The Rocco A. Ortenzio 2014 Trust FBO Martin J. 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