0001127602-11-016631.txt : 20110517 0001127602-11-016631.hdr.sgml : 20110517 20110517162705 ACCESSION NUMBER: 0001127602-11-016631 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110516 FILED AS OF DATE: 20110517 DATE AS OF CHANGE: 20110517 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: 11851938 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 form4.xml PRIMARY DOCUMENT X0303 4 2011-05-16 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 Chairman and CEO Class B Common Stock 2011-05-16 5 J 0 E 21240 0 D 35863 I By The Abby Miller King 2009 GRAT Class B Common Stock 2011-05-16 5 J 0 E 21240 0 A 254546 D Class B Common Stock 2011-05-16 5 J 0 E 21240 0 D 35863 I By The Marc Daniel Miller 2009 GRAT Class B Common Stock 2011-05-16 5 J 0 E 21240 0 A 275786 D Class B Common Stock 2011-05-16 5 J 0 E 21240 0 D 35863 I By The Marni Spencer 2009 GRAT Class B Common Stock 2011-05-16 5 J 0 E 21240 0 A 297026 D Class B Common Stock 27982 I By The Abby Miller King 2010 GRAT Class B Common Stock 26897 I By The Abby Miller King 2010 GRAT (A) Class B Common Stock 27982 I By The Marc Daniel Miller 2010 GRAT Class B Common Stock 26897 I By The Marc Daniel Miller 2010 GRAT (A) Class B Common Stock 27982 I By The Marni Spencer 2010 GRAT Class B Common Stock 26897 I By The Marni Spencer 2010 GRAT (A) Class B Common Stock 2560 I By Wife On May 16, 2011, each of The Marc Daniel Miller 2009 GRAT, The Marni Spencer 2009 GRAT and The Abby Miller King 2009 GRAT terminated and distributed 21,240 shares of Class B Common Stock to Alan B. Miller. The transfer resulted in a change of beneficial ownership from indirect to direct. Mr. Miller's pecuniary interest in these shares is unchanged. The remaining 35,863 shares of Class B Common Stock from each of The Marc Daniel Miller 2009 GRAT, The Marni Spencer 2009 GRAT and The Abby Miller King 2009 GRAT were distributed to the The Marc Daniel Miller 2002 Trust, The Marni Spencer 2002 Trust and The Abby Miller King 2002 Trust. /s/ Alan B. Miller 2011-05-17