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Miller Marc D – ‘4’ for 8/7/20 re: Universal Health Services Inc.

On:  Tuesday, 8/11/20, at 12:46pm ET   ·   For:  8/7/20   ·   Accession #:  1127602-20-23331   ·   File #:  1-10765

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 8/11/20  Miller Marc D                     4                      1:66K  Universal Health Services Inc.    Restricted Stock Sy… Inc

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Statement of Changes in Beneficial Ownership of     HTML      3K 
                Securities by an Insider -- form4.xml/3.6                        




        

This ‘4’ Document is an XML Data File that may be rendered in various formats:

  Form 4    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Statement of Changes in Beneficial Ownership of Securities by an Insider
 
FORM 4UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0287
Estimated average burden
hours per response:0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Miller Marc D

(Last)(First)(Middle)
UNIVERSAL HEALTH SERVICES, INC.
367 SOUTH GULPH ROAD

(Street)
KING OF PRUSSIAPA19406

(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
UNIVERSAL HEALTH SERVICES INC [ UHS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
XDirector 10% Owner
XOfficer (give title below) Other (specify below)
President
3. Date of Earliest Transaction (Month/Day/Year)
8/7/20
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeVAmount(A) or (D)Price
Class B Common Stock 8/7/20 J (1) 29,569D$00IAMK 2014 LLC held by the Abby Miller King 2018 GRAT
Class B Common Stock 8/7/20 J (1) 29,569A$029,569IAMK 2014 LLC as held by Alan B. Miller
Class B Common Stock 8/7/20 J (2) 29,503D$024,180IAMK 2014 LLC as held by The Abby Miller King 2019 GRAT
Class B Common Stock 8/7/20 J (2) 29,503A$059,072IAMK 2014 LLC as held by Alan B. Miller
Class B Common Stock 8/7/20 J (3) 59,072D$00IAMK 2014 LLC as held by Alan B. Miller
Class B Common Stock 8/7/20 J (3) 59,072A$059,072IAMK 2014 LLC held by the Abby Miller King 2020 GRAT
Class B Common Stock 8/7/20 J (1) 29,569D$00IMS 2014 LLC as held by The Marni Spencer 2018 GRAT
Class B Common Stock 8/7/20 J (1) 29,569A$029,569IMS 2014 LLC as held by Alan B. Miller
Class B Common Stock 8/7/20 J (2) 29,503D$024,180IMS 2014 LLC as held by The Marni Spencer 2019 GRAT
Class B Common Stock 8/7/20 J (2) 29,503A$059,072IMS 2014 LLC as held by Alan B. Miller
Class B Common Stock 8/7/20 J (4) 59,072D$00IMS 2014 LLC as held by Alan B. Miller
Class B Common Stock 8/7/20 J (4) 59,072A$059,072IMS 2014 LLC as held by The Marni Spencer 2020 GRAT
Class B Common Stock 8/7/20 J (1) 74,660D$00IMDM 2014 LLC as held by The Marc Daniel Miller 2018 GRAT
Class B Common Stock 8/7/20 J (1) 74,660A$074,660IMDM 2014 LLC as held by Alan B. Miller
Class B Common Stock 8/7/20 J (2) 55,712D$045,621IMDM 2014 LLC as held by The Marc Daniel Miller 2019 GRAT
Class B Common Stock 8/7/20 J (2) 55,712A$0130,372IMDM 2014 LLC as held by Alan B. Miller
Class B Common Stock 8/7/20 J (5) 130,372D$00IMDM 2014 LLC as held by Alan B. Miller
Class B Common Stock 8/7/20 J (5) 130,372A$0130,372IMDM 2014 LLC as held by The Marc Daniel Miller 2020 GRAT
Class B Common Stock 141,209D
Class B Common Stock 16,748IAMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
Class B Common Stock 24,007IMDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class B Common Stock 16,748IMS 2014 LLC held by The Marni Spencer 2002 Trust
Class B Common Stock 22,815IThe Abby Danielle Miller 2002 Trust
Class B Common Stock 55,763IThe Abby Miller King 2011 Family Trust
Class B Common Stock 44,110IThe Marc Daniel Miller 2002 Trust
Class B Common Stock 59,900IThe Marc Daniel Miller 2011 Family Trust
Class B Common Stock 43,247IThe Marni Spencer 2002 Trust
Class B Common Stock 55,763IThe Marni Spencer 2011 Family Trust
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year)3A. Deemed Execution Date, if any (Month/Day/Year)4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year)7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Class A Common Stock (6) 8/7/20 J (1) 29,569 (7) (8)Class B Common Stock29,569$00IAMK 2014 LLC as held by The Abby Miller King 2018 GRAT
Class A Common Stock (9) 8/7/20 J (1) 29,569 (10) (11)Class B Common Stock29,569$029,569IAMK 2014 LLC as held by Alan B. Miller
Class A Common Stock (12) 8/7/20 J (2) 29,503 (13) (14)Class B Common Stock29,503$024,180IAMK 2014 LLC as held by the Abby Miller King 2019 GRAT
Class A Common Stock (9) 8/7/20 J (2) 29,503 (10) (11)Class B Common Stock29,503$059,072IAMK 2014 LLC as held by Alan B. Miller
Class A Common Stock (9) 8/7/20 J (3) 59,072 (10) (11)Class B Common Stock59,072$00IAMK 2014 LLC as held by Alan B. Miller
Class A Common Stock (12) 8/7/20 J (3) 59,072 (13) (14)Class B Common Stock59,072$059,072IAMK 2014 LLC held by the Abby Miller King 2020 GRAT
Class A Common Stock (6) 8/7/20 J (1) 29,569 (7) (8)Class B Common Stock29,569$00IMS 2014 LLC as held by The Marni Spencer 2018 GRAT
Class A Common Stock (9) 8/7/20 J (1) 29,569 (10) (11)Class B Common Stock29,569$029,569IMS 2014 LLC as held by Alan B. Miller
Class A Common Stock (12) 8/7/20 J (2) 29,503 (13) (14)Class B Common Stock29,503$024,180IMS 2014 LLC as held by The Marni Spencer 2019 GRAT
Class A Common Stock (9) 8/7/20 J (2) 29,503 (10) (11)Class B Common Stock29,503$059,072IMS 2014 LLC as held by Alan B. Miller
Class A Common Stock (9) 8/7/20 J (4) 59,072 (10) (11)Class B Common Stock59,072$00IMS 2014 LLC as held by Alan B. Miller
Class A Common Stock (12) 8/7/20 J (4) 59,072 (13) (14)Class B Common Stock59,072$059,072IMS 2014 LLC as held by The Marni Spencer 2020 GRAT
Class A Common Stock (6) 8/7/20 J (1) 55,996 (7) (8)Class B Common Stock55,996$00IMDM 2014 LLC as held by the Marc Daniel Miller 2018 GRAT
Class A Common Stock (9) 8/7/20 J (1) 55,996 (10) (11)Class B Common Stock55,996$055,996IMDM 2014 LLC as held by Alan B. Miller
Class A Common Stock (12) 8/7/20 J (2) 41,783 (13) (14)Class B Common Stock41,783$034,216IMDM 2014 LLC as held by the Marc Daniel Miller 2019 GRAT
Class A Common Stock (9) 8/7/20 J (2) 41,783 (10) (11)Class B Common Stock41,783$097,779IMDM 2014 LLC as held by Alan B. Miller
Class A Common Stock (9) 8/7/20 J (5) 97,779 (10) (11)Class B Common Stock97,779$00IMDM 2014 LLC as held by Alan B. Miller
Class A Common Stock (12) 8/7/20 J (5) 97,779 (13) (14)Class B Common Stock97,779$097,779IMDM 2014 LLC as held by The Marc Daniel Miller 2020 GRAT
Class A Common Stock (12) (13) (14)Class B Common Stock532,194 532,194IA. Miller Family, LLC
Class A Common Stock (12) (13) (14)Class B Common Stock61,500 61,500IAbby Danielle Miller Subtrust u/ Miller Family 2017 Trust
Class A Common Stock (6) (7) (8)Class B Common Stock118,900 118,900IBy The Abby Miller King Family 2012 Trust
Class A Common Stock (6) (7) (8)Class B Common Stock118,900 118,900IBy The Marc Daniel Miller Family 2012 Trust
Class A Common Stock (6) (7) (8)Class B Common Stock118,900 118,900IBy The Marni Spencer Family 2012 Trust
Class A Common Stock (12) (13) (14)Class B Common Stock61,500 61,500IMarc Daniel Miller Subtrust u/ Miller Family 2017 Trust
Class A Common Stock (12) (13) (14)Class B Common Stock61,500 61,500IMarni Spencer Subtrust u/ Miller Family 2017 Trust
Class A Common Stock (9) (7) (8)Class B Common Stock18,005 18,005IMDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class A Common Stock (9) (7) (8)Class B Common Stock16,748 16,748IMS 2014 LLC held by The Marni Spencer 2002 Trust
Class A Common Stock (9) (7) (8)Class B Common Stock99,063 99,063IThe Abby Danielle Miller 2002 Trust
Class A Common Stock (9) (7) (8)Class B Common Stock139,195 139,195IThe Marc Daniel Miller 2002 Trust
Class A Common Stock (9) (7) (8)Class B Common Stock99,063 99,063IThe Marni Spencer 2002 Trust
Explanation of Responses:
(1)  On August 07, 2020, The Marc Daniel Miller 2018 GRAT distributed 37.33028% of the MDM 2014 LLC to the MDM 2014 LLC as held by Alan B. Miller, The Abby Miller King 2018 GRAT distributed 29.56947% of the AMK 2014 LLC to the AMK 2014 LLC as held by Alan B. Miller, and The Marni Spencer 2018 GRAT distributed 29.56947% of the MS 2014 LLC to the MS 2014 LLC as held by Alan B. Miller. 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 2018 GRAT.
(2)  On August 07, 2020, The Marc Daniel Miller 2019 GRAT distributed 27.85561% of the MDM 2014 LLC to the MDM 2014 LLC as held by Alan B. Miller, The Abby Miller King 2019 GRAT distributed 29.50298% of the AMK 2014 LLC to the AMK 2014 LLC as held by Alan B. Miller, and The Marni Spencer 2019 GRAT distributed 29.50298% of the MS 2014 LLC to the MS 2014 LLC as held by Alan B. Miller. 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 2019 GRAT.
(3)  On August 07, 2020, Alan B. Miller contributed 59.07245% of AMK 2014 LLC to The Abby Miller King 2020 GRAT. These shares were held by the AMK 2014 LLC as held by Alan B. Miller.
(4)  On August 07, 2020, Alan B. Miller contributed 59.07245% of MS 2014 LLC to The Marni Spencer 2020 GRAT. These shares were held by the MS 2014 LLC as held by Alan B. Miller.
(5)  On August 07, 2020, Alan B. Miller contributed 65.18589% of the MDM 2014 LLC to The Marc Daniel Miller 2020 GRAT. These shares were held by the MDM 2014 LLC as held by Alan B. Miller.
(6)  The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
(7)  Immediately.
(8)  Not Applicable.
(9)  These shares are convertible to Class B Common Stock on a share for share basis.
(10)  Immediately
(11)  Not Applicable
(12)  The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
(13)  Immediately.
(14)  Not Applicable.
/s/ Steve Filton, Attorney in Fact for Marc D. Miller 8/11/20
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
____________
Transaction Code:
    J    Other acquisition or disposition.

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