Sec Form 4 Filing - ORTENZIO ROCCO A @ SELECT MEDICAL HOLDINGS CORP - 2021-02-08

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
ORTENZIO ROCCO A
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
(Last) (First) (Middle)
C/O SELECT MEDICAL HOLDINGS CORPORATION, 4714 GETTYSBURG ROAD
3. Date of Earliest Transaction (MM/DD/YY)
02/08/2021
(Street)
MECHANICSBURG, PA17055
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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)
Code V Amount (A) or (D) Price
Common Stock 02/08/2021 G V 1,445,195 D $ 0 3,804,805 I By the Rocco A. Ortenzio Descendants Trust ( 1 )
Common Stock 02/08/2021 G V 3,804,805 D $ 0 0 I By the Rocco A. Ortenzio Descendants Trust ( 1 )
Common Stock 1,445,195 ( 2 ) I By the Rocco A. Ortenzio Separate Non-Exempt Descendants Trust ( 1 )
Common Stock 3,804,805 ( 3 ) I By the Rocco A. Ortenzio Separate Exempt Descendants Trust ( 1 )
Common Stock 847,143 D
Common Stock 1,178,560 I By the Rocco A. Ortenzio Revocable Trust dated 8/14/07, as amended ( 1 )
Common Stock 1,242,890 I By the Rocco A. Ortenzio October 2019 GRAT ( 1 )
Common Stock 2,000,000 I By the Rocco A. Ortenzio July 2020 GRAT ( 1 )
Common Stock 30,601 I By Select Investments III, L.P. ( 1 )
Common Stock 16,182 I By Select AP Investors, L.P. ( 1 )
Common Stock 10,000 I By spouse ( 1 )
Common Stock 56,669 I By the Rocco A. Ortenzio 2014 Trust for Robert A. Ortenzio ( 1 )
Common Stock 56,668 I By the Rocco A. Ortenzio 2014 Trust for Martin J. Ortenzio ( 1 )
Common Stock 56,668 I By the Rocco A. Ortenzio 2014 Trust for John M. Ortenzio ( 1 )
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
ORTENZIO ROCCO A
C/O SELECT MEDICAL HOLDINGS CORPORATION
4714 GETTYSBURG ROAD
MECHANICSBURG, PA17055
X Vice Chairman and Co-Founder
Signatures
/s/ Michael E. Tarvin, as attorney-in-fact 02/09/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )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.
( 2 )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.
( 3 )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.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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