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