0001179110-19-012193.txt : 20191202 0001179110-19-012193.hdr.sgml : 20191202 20191202190253 ACCESSION NUMBER: 0001179110-19-012193 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191126 FILED AS OF DATE: 20191202 DATE AS OF CHANGE: 20191202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ORTENZIO ROCCO A CENTRAL INDEX KEY: 0000948252 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34465 FILM NUMBER: 191264263 MAIL ADDRESS: STREET 1: SELECT MEDICAL CORP STREET 2: 4716 OLD GETTYSBURG RD PO BOX 2034 CITY: MECHANICSBURG STATE: PA ZIP: 17055 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 2019-11-26 0 0001320414 SELECT MEDICAL HOLDINGS CORP SEM 0000948252 ORTENZIO ROCCO A C/O SELECT MEDICAL HOLDINGS CORPORATION 4714 GETTYSBURG ROAD MECHANICSBURG PA 17055 1 1 0 0 Vice Chairman and Co-Founder Common Stock 2000000 I By the Rocco A. Ortenzio October 2019 GRAT Common Stock 4421450 I By the Rocco A. Ortenzio Revocable Trust dated 8/14/07, as amended Common Stock 1197143 D Common Stock 2750000 I By the Rocco A. Ortenzio Descendants Trust Common Stock 30601 I By Select Investments III, L.P. Common Stock 16182 I By Select AP Investors, L.P. Common Stock 10000 I By spouse Common Stock 56669 I By the Rocco A. Ortenzio 2014 Trust for Robert A. Ortenzio Common Stock 56668 I By the Rocco A. Ortenzio 2014 Trust for Martin J. Ortenzio Common Stock 56668 I By the Rocco A. Ortenzio 2014 Trust for John M. Ortenzio 1,103,076 shares were previously owned by, and contributed by, the Rocco A. Ortenzio July 2017 GRAT to Rocco A. Ortenzio. Rocco A. Ortenzio then contributed the shares to the Rocco A. Ortenzio Revocable Trust dated 8/14/07, as amended. The shares were previously owned by, and contributed by, the Rocco A. Ortenzio July 2017 GRAT to the Rocco A. Ortenzio 2014 Trust for Robert A. Ortenzio. The shares were previously owned by, and contributed by, the Rocco A. Ortenzio July 2017 GRAT to the Rocco A. Ortenzio 2014 Trust for Martin J. Ortenzio. The shares were previously owned by, and contributed by, the Rocco A. Ortenzio July 2017 GRAT to the Rocco A. Ortenzio 2014 Trust for John M. 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. /s/ Michael E. Tarvin, as attorney-in-fact 2019-12-02