0001127602-16-059395.txt : 20160803 0001127602-16-059395.hdr.sgml : 20160803 20160803151742 ACCESSION NUMBER: 0001127602-16-059395 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160803 FILED AS OF DATE: 20160803 DATE AS OF CHANGE: 20160803 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNIVERSAL HEALTH REALTY INCOME TRUST CENTRAL INDEX KEY: 0000798783 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 236858580 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: UNIVERSAL CORPORATE CTR STREET 2: 367 S GULPH RD CITY: KING OF PRUSSIA STATE: PA ZIP: 19406 BUSINESS PHONE: 610-265-0688 MAIL ADDRESS: STREET 1: UNIVERSAL CORPORATE CTR STREET 2: 367 S GULPH ROAD CITY: KING OF PRUSSIA STATE: PA ZIP: 19406 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BERGER MILES L CENTRAL INDEX KEY: 0001180999 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09321 FILM NUMBER: 161803588 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-08-03 0000798783 UNIVERSAL HEALTH REALTY INCOME TRUST UHT 0001180999 BERGER MILES L BERGER MANAGEMENT SERVICES, LLC 350 WEST HUBBARD STREET, SUITE 222 CHICAGO IL 60654 1 Trustee Shares Of Beneficial Interest 2016-08-03 4 M 0 1000 59.19 A 9388 D Shares Of Beneficial Interest 2016-08-03 4 F 0 617 59.19 D 8771 D Option To Purchase Shares Of Beneficial Interest 36.53 2016-08-03 4 M 0 1000 0 D 2017-03-01 Shares Of Beneficial Interest 1000 0 D The option vested ratably on each of 3/1/2008, 3/1/2009, 3/1/2010 and 3/1/2011. The reporting person has also been granted Dividend Equivalent Rights on the same terms as the options, pursuant to which the reporting person will receive the accrued cash dividends upon exercise of the Dividend Equivalent Rights. Miles L. Berger 2016-08-03