0001179110-21-001435.txt : 20210209 0001179110-21-001435.hdr.sgml : 20210209 20210209163753 ACCESSION NUMBER: 0001179110-21-001435 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210208 FILED AS OF DATE: 20210209 DATE AS OF CHANGE: 20210209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ORTENZIO ROBERT A CENTRAL INDEX KEY: 0000918697 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34465 FILM NUMBER: 21607063 MAIL ADDRESS: STREET 1: 4718 OLD GETTYSBURG RD STREET 2: POST OFFICE BOX 2034 CITY: MECHANICSBURG STATE: PA ZIP: 30309 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SELECT MEDICAL HOLDINGS CORP CENTRAL INDEX KEY: 0001320414 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: C/O SELECT MEDICAL CORP STREET 2: 4714 GETTYSBURG RD CITY: MECHANICSBURG STATE: PA ZIP: 17055 BUSINESS PHONE: 717-972-1100 MAIL ADDRESS: STREET 1: C/O SELECT MEDICAL CORP STREET 2: 4714 GETTYSBURG RD CITY: MECHANICSBURG STATE: PA ZIP: 17055 4 1 edgar.xml FORM 4 - X0306 4 2021-02-08 0 0001320414 SELECT MEDICAL HOLDINGS CORP SEM 0000918697 ORTENZIO ROBERT A C/O SELECT MEDICAL HOLDINGS CORPORATION 4714 GETTYSBURG ROAD MECHANICSBURG PA 17055 1 1 0 0 Exec. Chairman and Co-Founder Common Stock 2021-02-08 5 G 0 E 1445195 0 D 3804805 I By the Rocco A. Ortenzio Descendants Trust Common Stock 2021-02-08 5 G 0 E 3804805 0 D 0 I By the Rocco A. Ortenzio Descendants Trust Common Stock 1445195 I By the Rocco A. Ortenzio Separate Non-Exempt Descendants Trust Common Stock 3804805 I By the Rocco A. Ortenzio Separate Exempt Descendants Trust Common Stock 5336880 D Common Stock 1769000 I By the Robert A. Ortenzio Descendants Trust Common Stock 497156 I By the Robert A. Ortenzio October 2019 GRAT Common Stock 800000 I By the Robert A. Ortenzio July 2020 GRAT Common Stock 56669 I By the Rocco A. Ortenzio 2014 Trust for Robert A. Ortenzio Common Stock 54553 I By the Robert A. Ortenzio 2014 Trust for Bryan A. Ortenzio Common Stock 54553 I By the Robert A. Ortenzio 2014 Trust for Kevin M. Ortenzio Common Stock 54552 I By the Robert A. Ortenzio 2014 Trust for Madeline G. Ortenzio The reporting person beneficially owns the reported securities indirectly, but disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. These shares were previously owned by the Rocco A. Ortenzio Descendants Trust and were transferred to the Rocco A. Ortenzio Separate Non-Exempt Descendants Trust on February 8, 2021. These shares were previously owned by the Rocco A. Ortenzio Descendants Trust and were transferred to the Rocco A. Ortenzio Separate Exempt Descendants Trust on February 8, 2021. /s/ Michael E. Tarvin, as attorney-in-fact 2021-02-09