0001493152-19-008669.txt : 20190604
0001493152-19-008669.hdr.sgml : 20190604
20190604170247
ACCESSION NUMBER: 0001493152-19-008669
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180222
FILED AS OF DATE: 20190604
DATE AS OF CHANGE: 20190604
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Miller Thomas Daniel
CENTRAL INDEX KEY: 0001407312
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37550
FILM NUMBER: 19877449
MAIL ADDRESS:
STREET 1: 1573 MALLORY LANE
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Quorum Health Corp
CENTRAL INDEX KEY: 0001650445
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062]
IRS NUMBER: 474725208
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1573 MALLORY LANE
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
BUSINESS PHONE: 615-221-1400
MAIL ADDRESS:
STREET 1: 1573 MALLORY LANE
CITY: BRENTWOOD
STATE: TN
ZIP: 37027
4
1
ownership.xml
X0306
4
2018-02-22
1
0001650445
Quorum Health Corp
QHC
0001407312
Miller Thomas Daniel
1573 MALLORY LANE
SUITE 100
BRENTWOOD
TN
37027
1
1
0
0
Former Director & Officer
Common stock, par value $0.0001 per share
2018-02-22
4
F
0
10164
6.16
D
1053975
D
Common stock, par value $0.0001 per share
2018-03-01
4
F
0
685
5.68
D
1053290
D
Common stock, par value $0.0001 per share
2018-05-03
4
F
0
23861
7.41
D
1029429
D
Common stock, par value $0.0001 per share
2018-05-20
4
F
0
127251
5.11
D
902178
D
The reporting person resigned from his position as a director and officer of the issuer effective May 20, 2018. This Form 4 is being filed to report shares that were withheld to satisfy the reporting person's tax withholding obligation for restricted stock that vested while the reporting person was an officer of the issuer or in connection with his resignation.
/s/ Ray Harold McCard, Jr., Attorney in Fact for Thomas D. Miller
2019-06-04