SEC Info - Ortenzio Rocco A - ‘4’ for 3/19/20 re: Select Medical Holdings Corp.

FORM 4

UNITED 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

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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^*

ORTENZIO ROCCO A

(Last)

(First)

(Middle)

C/O SELECT MEDICAL HOLDINGS CORPORATION

4714 GETTYSBURG ROAD

(Street)

MECHANICSBURG

17055

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
SELECT MEDICAL HOLDINGS CORP [ SEM ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Vice Chairman and Co-Founder

3. Date of Earliest Transaction (Month/Day/Year)
3/19/20

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form 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)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	3/19/20		G	V	100,000	D	$0	697,143	D
Common Stock								3,250,000 ⁽¹⁾	I	By the Rocco A. Ortenzio Descendants Trust ⁽²⁾
Common Stock								2,000,000	I	By the Rocco A. Ortenzio October 2019 GRAT ⁽²⁾
Common Stock								4,421,450	I	By the Rocco A. Ortenzio Revocable Trust dated 8/14/07, as amended ⁽²⁾
Common Stock								30,601	I	By Select Investments III, L.P. ⁽²⁾
Common Stock								16,182	I	By Select AP Investors, L.P. ⁽²⁾
Common Stock								10,000	I	By spouse ⁽²⁾
Common Stock								56,669	I	By the Rocco A. Ortenzio 2014 Trust for Robert A. Ortenzio ⁽²⁾
Common Stock								56,668	I	By the Rocco A. Ortenzio 2014 Trust for Martin J. Ortenzio ⁽²⁾
Common Stock								56,668	I	By the Rocco A. Ortenzio 2014 Trust for John M. Ortenzio ⁽²⁾

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)
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)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)

Explanation of Responses:

(1) 100,000 shares were previously owned by, and contributed by, Rocco A. Ortenzio to the Rocco A. Ortenzio Descendants Trust.

(2) 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	3/20/20
	** Signature of Reporting Person	Date
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:
G	Bona fide gift.

Ortenzio Rocco A – ‘4’ for 3/19/20 re: Select Medical Holdings Corp.

On: Friday, 3/20/20, at 5:15pm ET · For: 3/19/20 · Accession #: 1179110-20-4032 · File #: 1-34465

Previous ‘4’: ‘4’ on 1/14/20 for 1/6/20 · Next: ‘4’ on 7/30/20 for 7/28/20 · Latest: ‘4’ on 8/2/23 for 8/1/23

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

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

Ortenzio Rocco A – ‘4’ for 3/19/20 re: Select Medical Holdings Corp.

On: Friday, 3/20/20, at 5:15pm ET · For: 3/19/20 · Accession #: 1179110-20-4032 · File #: 1-34465

Previous ‘4’: ‘4’ on 1/14/20 for 1/6/20 · Next: ‘4’ on 7/30/20 for 7/28/20 · Latest: ‘4’ on 8/2/23 for 8/1/23

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

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

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