0000899243-18-011191.txt : 20180502
0000899243-18-011191.hdr.sgml : 20180502
20180502205002
ACCESSION NUMBER: 0000899243-18-011191
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 Marc D
CENTRAL INDEX KEY: 0001315495
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-10765
FILM NUMBER: 18801492
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
0001315495
Miller Marc D
UNIVERSAL HEALTH SERVICES, INC.
367 SOUTH GULPH ROAD
KING OF PRUSSIA
PA
19406
1
1
0
0
President
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
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
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
100000
0.00
A
200000
I
MDM 2014 LLC
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
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
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
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
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
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
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
A
51933
I
The MS 2014 LLC held by Marni Spencer 2018 GRAT
Class B Common Stock
112615
D
Class B Common Stock
55763
I
The Abby Miller King 2011 Family Trust
Class B Common Stock
59900
I
The Marc Daniel Miller 2011
Family Trust
Class B Common Stock
55763
I
The Marni Spencer 2011 Family Trust
Class B Common Stock
43247
I
The Abby Danielle Miller 2002
Trust
Class B Common Stock
44110
I
The Marc Daniel Miller 2002
Trust
Class B Common Stock
43247
I
The Marni Spencer 2002
Trust
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
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
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
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
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
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
31319
I
AMK 2014 LLC held by The Abby Miller King 2017 GRAT
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
31564
0.00
D
Class B Common Stock
31564
31319
I
MS 2014 LLC held by The Marni Spencer 2017 GRAT
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
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
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
532194
532194
I
A. Miller Family, LLC
Class A Common Stock
Class B Common Stock
118900
118900
I
The Abby Miller King Family 2012 Trust
Class A Common Stock
Class B Common Stock
118900
118900
I
The Marni Spencer Family 2012 Trust
Class A Common Stock
Class B Common Stock
160563
160563
I
The Abby Danielle Miller 2002 Trust
Class A Common Stock
Class B Common Stock
200695
200695
I
The Marc Daniel Miller 2002 Trust
Class A Common Stock
Class B Common Stock
160563
160563
I
The Marni Spencer 2002 Trust
The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
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 20.36904% interest of MS 2014 LLC to Alan B. Miller. 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 2) All of the distributions hereinbefore described were made pursuant to the terms of the Trust Agreement creating each 2015 GRAT. Each 2015 GRAT has now terminated. The shares reflected represent the amount of shares held by each LLC as represented by the percentage LLC interests distributed. The reporting person is a trustee of each GRAT and each 2002 Trust and is a special manager of each LLC but disclaims beneficial interest in each GRAT and each 2002 Trust other than The Marc Daniel Miller 2015 GRAT and The Marc Daniel Miller 2002 Trust, and each LLC other than MDM 2014 LLC.
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. The reporting person is a trustee of each GRAT and a special manager of each LLC but disclaims beneficial interest in each GRAT and each other than the Marc Daniel Miller 2017 GRAT and each LLC other than MDM 2014 LLC.
On April 30, 2018, Alan B. Miller contributed a 65.548664% 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. The reporting person is a trustee of each GRAT and a special manager of each LLC but disclaims beneficial interest in each GRAT other than the Marc Daniel Miller 2018 GRAT and each LLC other than the MDM 2014 LLC.
The reporting person is a trustee of each of the 2011 Family Trusts for the benefit of Alan B. Miller's three children and has sole voting power with respect to these shares. The reporting person disclaims beneficial ownership of the shares of Class A Common Stock held by The Abby Miller King 2011 Family Trust and The Marni Spencer 2011 Family Trust.
Immediately
Not Applicable
The reporting person is the sole manager of the A. Miller Family, LLC and during his tenure as such, has voting and dispositive power with respect to the Class A Common Stock held by the A. Miller Family, LLC. The reporting person disclaims beneficial ownership of the shares of Class A Common Stock held by the A. Miller Family, LLC except to the extent of his pecuniary interest therein.
The reporting person is a trustee of each of The Abby Miller King Family 2012 Trust and The Marni Spencer Family 2012 Trust and has sole voting power with respect to these shares. The reporting person disclaims beneficial ownership of the shares of Class A Common Stock held by The Abby Miller King Family 2012 Trust and The Marni Spencer Family 2012 Trust.
The reporting person is a trustee of each of The Abby Danielle Miller 2002 Trust, The Marc Daniel Miller 2002 Trust and The Marni Spencer 2002 Trust but disclaims beneficial ownership of the shares of Class A Common Stock held by The Abby Danielle Miller 2002 Trust and The Marni Spencer 2002 Trust.
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 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/ Marc D. Miller
2018-04-30