0001127602-17-033585.txt : 20171201 0001127602-17-033585.hdr.sgml : 20171201 20171201105806 ACCESSION NUMBER: 0001127602-17-033585 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171129 FILED AS OF DATE: 20171201 DATE AS OF CHANGE: 20171201 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: 171233071 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 X0306 4 2017-11-29 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 President Class B Common Stock 2017-11-29 4 M 0 45000 102.33 A 132345 D Class B Common Stock 2017-11-29 4 F 0 32324 102.33 D 100021 D Class B Common Stock 2017-11-30 4 M 0 22500 107.47 A 122521 D Class B Common Stock 2017-11-30 4 F 0 16283 107.47 D 106238 D Class B Common Stock 14858 I AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust Class B Common Stock 22259 I AMK 2014 LLC held by The Abby Miller King 2015 GRAT Class B Common Stock 62883 I AMK 2014 LLC held by The Abby Miller King 2017 GRAT Class B Common Stock 14858 I MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust Class B Common Stock 22259 I MDM 2014 LLC held by The Marc Daniel Miller 2015 GRAT Class B Common Stock 62883 I MDM 2014 LLC held by The Marc Daniel Miller 2017 GRAT Class B Common Stock 14858 I MS 2014 LLC held by The Marni Spencer 2002 Trust Class B Common Stock 22259 I MS 2014 LLC held by The Marni Spencer 2015 GRAT Class B Common Stock 62883 I MS 2014 LLC held by The Marni Spencer 2017 GRAT Class B Common Stock 43247 I The Abby Danielle Miller 2002 Trust Class B Common Stock 55763 I The Abby Miller King 2011 Family Trust Class B Common Stock 44110 I The Marc Daniel Miller 2002 Trust Class B Common Stock 59900 I The Marc Daniel Miller 2011 Family Trust Class B Common Stock 43247 I The Marni Spencer 2002 Trust Class B Common Stock 55763 I The Marni Spencer 2011 Family Trust Option To Purchase Class B Common Stock 53.38 2017-11-29 4 M 0 45000 0 D 2018-01-15 Class B Common Stock 45000 45000 D Option To Purchase Class B Common Stock 53.38 2017-11-30 4 M 0 22500 0 D 2018-01-15 Class B Common Stock 22500 22500 D Option vests ratably on each of 1/16/2014, 1/16/2015, 1/16/2016 and 1/16/2017. /s/ Marc D. Miller 2017-12-01