0001127602-19-010358.txt : 20190307
0001127602-19-010358.hdr.sgml : 20190307
20190307110219
ACCESSION NUMBER: 0001127602-19-010358
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190305
FILED AS OF DATE: 20190307
DATE AS OF CHANGE: 20190307
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: 19664769
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
2019-03-05
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
2019-03-05
4
J
0
31319
0
D
0
I
AMK 2014 LLC held by The Abby Miller King 2017 GRAT
Class B Common Stock
2019-03-05
4
J
0
31319
0
A
31319
I
AMK 2014 LLC as held by Alan B. Miller
Class B Common Stock
2019-03-05
4
J
0
31319
0
D
0
I
MS 2014 LLC held by The Marni Spencer 2017 GRAT
Class B Common Stock
2019-03-05
4
J
0
31319
0
A
31319
I
MS 2014 LLC as held by Alan B. Miller
Class B Common Stock
2019-03-05
4
J
0
44896
0
D
0
I
MDM 2014 LLC held by The Marc Daniel Miller 2017 GRAT
Class B Common Stock
2019-03-05
4
J
0
44896
0
A
44896
I
MDM 2014 LLC as held by Alan B. Miller
Class B Common Stock
135237
D
Class B Common Stock
0
I
AMK 2014 LLC
Class B Common Stock
16748
I
AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
Class B Common Stock
51933
I
AMK 2014 LLC held by the Abby Miller King 2018 GRAT
Class B Common Stock
131097
I
MDM 2014 LLC as held by The Marc Daniel Miller 2018 GRAT
Class B Common Stock
24007
I
MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class B Common Stock
51933
I
MS 2014 LLC as held by The Marni Spencer 2018 GRAT
Class B Common Stock
16748
I
MS 2014 LLC held by The Marni Spencer 2002 Trust
Class B Common Stock
22815
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
Class A Common Stock
2019-03-05
4
J
0
31319
0
D
Class B Common Stock
31319
0
I
AMK 2014 LLC held by The Abby Miller King 2017 GRAT
Class A Common Stock
2019-03-05
4
J
0
31319
0
A
Class B Common Stock
31319
31319
I
AMK 2014 LLC as held by Alan B. Miller
Class A Common Stock
2019-03-05
4
J
0
31319
0
D
Class B Common Stock
31319
0
I
MS 2014 LLC held by The Marni Spencer 2017 GRAT
Class A Common Stock
2019-03-05
4
J
0
31319
0
A
Class B Common Stock
31319
31319
I
MS 2014 LLC as held by Alan B. Miller
Class A Common Stock
2019-03-05
4
J
0
33671
0
D
Class B Common Stock
33671
0
I
MDM 2014 LLC held by The Marc Daniel Miller 2017 GRAT
Class A Common Stock
2019-03-05
4
J
0
33671
0
A
Class B Common Stock
33671
33671
I
MDM 2014 LLC as held by Alan B. Miller
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
Class A Common Stock
Class B Common Stock
532194
532194
I
A. Miller Family, LLC
Class A Common Stock
Class B Common Stock
51933
51933
I
AMK 2014 LLC as held by The Abby Miller King 2018 GRAT
Class A Common Stock
Class B Common Stock
16748
16748
I
AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
Class A Common Stock
Class B Common Stock
118900
118900
I
By The Abby Miller King Family 2012 Trust
Class A Common Stock
Class B Common Stock
118900
118900
I
By The Marc Daniel Miller Family 2012 Trust
Class A Common Stock
Class B Common Stock
118900
118900
I
By The Marni Spencer Family 2012 Trust
Class A Common Stock
Class B Common Stock
98324
98324
I
MDM 2014 LLC as held by the Marc Daniel Miller 2018 GRAT
Class A Common Stock
Class B Common Stock
18005
18005
I
MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class A Common Stock
Class B Common Stock
51933
51933
I
MS 2014 LLC as held by The Marni Spencer 2018 GRAT
Class A Common Stock
Class B Common Stock
16748
16748
I
MS 2014 LLC held by The Marni Spencer 2002 Trust
On March 5, 2019, The Marc Daniel Miller 2017 GRAT distributed a 22.44772% interest in MDM 2014 LLC to Alan B. Miller, The Abby Miller King 2017 GRAT distributed a 31.32029% interest in AMK 2014 LLC to Alan B. Miller, and The Marni Spencer 2017 GRAT distributed a 31.32029% interest in AMK 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. All distributions hereinbefore described were made pursuant to the terms of the Trust Agreement creating each 2017 GRAT. Each 2017 GRAT is now terminated.
These shares are convertible to Class B Common Stock on a share for share basis.
Immediately.
Not Applicable.
Immediately
Not Applicable
The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
/s/ Marc D. Miller
2019-03-07