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