0000899243-18-011182.txt : 20180502
0000899243-18-011182.hdr.sgml : 20180502
20180502200031
ACCESSION NUMBER: 0000899243-18-011182
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180430
FILED AS OF DATE: 20180502
DATE AS OF CHANGE: 20180502
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MILLER ALAN B
CENTRAL INDEX KEY: 0001181031
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-10765
FILM NUMBER: 18801399
MAIL ADDRESS:
STREET 1: 367 SOUTH GULPH ROAD
CITY: KING OF PRUSSIA
STATE: PA
ZIP: 19406
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: UNIVERSAL HEALTH SERVICES INC
CENTRAL INDEX KEY: 0000352915
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062]
IRS NUMBER: 232077891
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 367 S GULPH RD
CITY: KING OF PRUSSIA
STATE: PA
ZIP: 19406
BUSINESS PHONE: 6107683300
MAIL ADDRESS:
STREET 1: 367 S GULPH ROAD
CITY: KING OF PRUSSIA
STATE: PA
ZIP: 19406
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-04-30
0
0000352915
UNIVERSAL HEALTH SERVICES INC
UHS
0001181031
MILLER ALAN B
UNIVERSAL HEALTH SERVICES, INC.
367 SOUTH GULPH ROAD
KING OF PRUSSIA
PA
19406
1
1
1
0
Chairman and CEO
Class B Common Stock
2018-04-30
4
J
0
22259
0.00
D
0
I
AMK 2014 LLC held by The Abby Miller King 2015 GRAT
Class B Common Stock
2018-04-30
4
J
0
20369
0.00
A
1125432
D
Class B Common Stock
2018-04-30
4
J
0
1890
0.00
A
16748
I
AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
Class B Common Stock
2018-04-30
4
J
0
22259
0.00
D
0
I
MDM 2014 LLC held by The Marc Daniel Miller 2015 GRAT
Class B Common Stock
2018-04-30
4
J
0
20369
0.00
A
1145801
D
Class B Common Stock
2018-04-30
4
J
0
1890
0.00
A
24007
I
MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class B Common Stock
2018-04-30
4
J
0
22259
0.00
D
0
I
MS 2014 LLC held by The Marni Spencer 2015 GRAT
Class B Common Stock
2018-04-30
4
J
0
20369
0.00
A
1166170
D
Class B Common Stock
2018-04-30
4
J
0
1890
0.00
A
16748
I
MS 2014 LLC held by The Marni Spencer 2002 Trust
Class B Common Stock
2018-04-30
4
J
0
31564
0.00
D
31319
I
AMK 2014 LLC held by The Abby Miller King 2017 GRAT
Class B Common Stock
2018-04-30
4
J
0
31564
0.00
A
1197734
D
Class B Common Stock
2018-04-30
4
J
0
31562
0.00
D
44896
I
MDM 2014 LLC held by The Marc Daniel Miller 2017 GRAT
Class B Common Stock
2018-04-30
4
J
0
31562
0.00
A
1229296
D
Class B Common Stock
2018-04-30
4
J
0
31564
0.00
D
31319
I
MS 2014 LLC held by The Marni Spencer 2017 GRAT
Class B Common Stock
2018-04-30
4
J
0
31564
0.00
A
1260860
D
Class B Common Stock
2018-04-30
4
J
0
51933
0.00
D
1208927
D
Class B Common Stock
2018-04-30
4
J
0
51933
0.00
A
51933
I
AMK 2014 LLC held by The Abby Miller King 2018 GRAT
Class B Common Stock
2018-04-30
4
J
0
51931
0.00
D
1156996
D
Class B Common Stock
2018-04-30
4
J
0
100000
114.49
D
1056996
D
Class B Common Stock
2018-04-30
4
J
0
100000
114.49
A
200000
I
MDM 2014 LLC
Class B Common Stock
2018-04-30
4
J
0
131097
0.00
A
131097
I
MDM 2014 LLC held by The Marc Daniel Miller 2018 GRAT
Class B Common Stock
2018-04-30
4
J
0
51933
0.00
D
1005063
D
Class B Common Stock
2018-04-30
4
J
0
51933
0.00
A
51933
I
MS 2014 LLC held by The Marni Spencer 2018 GRAT
Class A Common Stock
2018-04-30
4
J
0
22259
0.00
D
Class B Common Stock
22259
0
I
AMK 2014 LLC held by The Abby Miller King 2015 GRAT
Class A Common Stock
2018-04-30
4
J
0
20369
0.00
A
Class B Common Stock
20369
4175624
D
Class A Common Stock
2018-04-30
4
J
0
1890
0.00
A
Class B Common Stock
1890
16748
I
AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
Class A Common Stock
2018-04-30
4
J
0
33388
0.00
D
Class B Common Stock
33388
0
I
MDM 2014 LLC held by The Marc Daniel Miller 2015 GRAT
Class A Common Stock
2018-04-30
4
J
0
30553
0.00
A
Class B Common Stock
30553
4206177
D
Class A Common Stock
2018-04-30
4
J
0
2835
0.00
A
Class B Common Stock
2835
18005
I
MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class A Common Stock
2018-04-30
4
J
0
22259
0.00
D
Class B Common Stock
22259
0
I
MS 2014 LLC held by The Marni Spencer 2015 GRAT
Class A Common Stock
2018-04-30
4
J
0
20369
0.00
A
Class B Common Stock
20369
4226546
D
Class A Common Stock
2018-04-30
4
J
0
1890
0.00
A
Class B Common Stock
1890
16748
I
MS 2014 LLC held by The Marni Spencer 2002 Trust
Class A Common Stock
2018-04-30
4
J
0
31564
0.00
D
Class B Common Stock
31564
31320
I
AMK 2014 LLC held by The Abby Miller King 2017 GRAT
Class A Common Stock
2018-04-30
4
J
0
31564
0.00
A
Class B Common Stock
31564
4258110
D
Class A Common Stock
2018-04-30
4
J
0
47343
0.00
D
Class B Common Stock
47343
33671
I
MDM 2014 LLC held by The Marc Daniel Miller 2017 GRAT
Class A Common Stock
2018-04-30
4
J
0
47343
0.00
A
Class B Common Stock
47343
4305453
D
Class A Common Stock
2018-04-30
4
J
0
31564
0.00
D
Class B Common Stock
31564
31320
I
MS 2014 LLC held by The Marni Spencer 2017 GRAT
Class A Common Stock
2018-04-30
4
J
0
31564
0.00
A
Class B Common Stock
31564
4337017
D
Class A Common Stock
2018-04-30
4
J
0
51933
0.00
D
Class B Common Stock
51933
4285084
D
Class A Common Stock
2018-04-30
4
J
0
51933
0.00
A
Class B Common Stock
51933
51933
I
AMK 2014 LLC held by The Abby Miller King 2018 GRAT
Class A Common Stock
2018-04-30
4
J
0
77896
0.00
D
Class B Common Stock
77896
4207188
D
Class A Common Stock
2018-04-30
4
J
0
98324
0.00
A
Class B Common Stock
98324
98324
I
MDM 2014 LLC held by The Marc Daniel Miller 2018 GRAT
Class A Common Stock
2018-04-30
4
J
0
51933
0.00
D
Class B Common Stock
51933
4155255
D
Class A Common Stock
2018-04-30
4
J
0
51933
0.00
A
Class B Common Stock
51933
51933
I
MS 2014 LLC held by The Marni Spencer 2018 GRAT
Class A Common Stock
Class B Common Stock
400000
400000
I
Alan B. Miller Marital Trust (f/b/o Jill Miller)
Class A Common Stock
Class B Common Stock
258630
258630
I
The Alan B. Miller 2002 Trust
On April 30, 2018, The Marc Daniel Miller 2015 GRAT distributed a 20.36850% interest in MDM 2014 LLC to Alan B. Miller, The Abby Miller King 2015 GRAT distributed a 20.36904% interest in AMK 2014 LLC to Alan B. Miller and The Marni Spencer 2015 GRAT distributed a 20.369.04% interest of MS 2014 LLC to Alan B. Miller The shares reflected represent the amount of shares held by each LLC as represented by the percentage LLC interests distributed. Mr. Miller's pecuniary interest in these shares is unchanged. In addition, The Marc Daniel Miller 2015 GRAT distributed a 1.89002% interest in MDM 2014 LLC to The Marc Daniel Miller 2002 Trust, The Abby Miller King 2015 GRAT distributed a 1,88952% interest in AMK 2014 LLC to The Abby Danielle Miller 2002 Trust and The Marni Spencer 2015 GRAT distributed a 1.88952% interest in MS 2014 LLC to The Marni Spencer 2002 Trust.
(Continued From footnote 1) All distributions hereinbefore described were made pursuant to the terms of the Trust Agreement creating each 2015 GRAT. Each 2015 GRAT has now terminated.
On April 30, 2018, The Marc Daniel Miller 2017 GRAT distributed a 31.56209% interest in MDM 2014 LLC to Alan B. Miller, The Abby Miller King 2017 GRAT distributed a 31.56356% interest in AMK 2014 LLC to Alan B. Miller and The Marni Spencer 2017 GRAT distributed a 31.56356% interest in MS 2014 LLC to Alan B. Miller (the distributions were made pursuant to the terms of the Trust Agreement creating each 2017 GRAT). The shares reflected represent the amount of shares held by each LLC as represented by the percentage LLC interests distributed. Mr. Miller's pecuniary interest in these shares is unchanged.
On April 30, 2018, Alan B. Miller contributed a 65.54866% interest in MDM 2014 LLC to The Marc Daniel Miller 2018 GRAT, a 51.93260% interest in AMK 2014 LLC to The Abby Miller King 2018 GRAT and a 51.93260% interest in MS 2014 LLC to The Marni Spencer 2018 GRAT. The shares reflected represent the amount of shares held by each LLC as represented by the percentage LLC interests contributed. Mr. Miller's pecuniary interest in these shares is unchanged.
The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
Immediately
Not Applicable
The percentage interest in the 2014 MDM LLC, owned by the Marc Daniel Miller 2017 GRAT and the Marc Daniel Miller 2002 Trust was reduced and the interest of Alan B.
Miller was increased as a result of the contribution of an additional 100,000 shares of Class B Common Stock to the MDM 2014 LLC by Alan B. Miller. The shares reflected
represent the amount of shares represented by the LLC interest held by the Marc Daniel Miller 2017 GRAT and the Marc Daniel Miller 2002 Trust, respectively.
On April 30, 2018 Alan B. Miller contributed 100,000 Class B Shares to the MDM 2014 LLC. Marc Miller is the special manager of the MDM 2014 LLC.
/s/ Alan B. Miller
2018-05-02