Sec Form 4 Filing - Miller Marc D @ UNIVERSAL HEALTH SERVICES INC - 2021-05-03

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
Miller Marc D
2. Issuer Name and Ticker or Trading Symbol
UNIVERSAL HEALTH SERVICES INC [ UHS]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
President and CEO
(Last) (First) (Middle)
UNIVERSAL HEALTH SERVICES, INC., 367 SOUTH GULPH ROAD
3. Date of Earliest Transaction (MM/DD/YY)
05/03/2021
(Street)
KING OF PRUSSIA, PA19406
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
Class B Common Stock 05/03/2021 J( 1 ) 45,621 D $ 0 0 I MDM 2014 LLC as held by The Marc Daniel Miller 2019 GRAT
Class B Common Stock 05/03/2021 J( 1 ) 45,621 A $ 0 45,621 I MDM 2014 LLC as held by Alan B. Miller
Class B Common Stock 05/03/2021 J( 2 ) 24,180 D $ 0 0 I MS 2014 LLC as held by The Marni Spencer 2019 GRAT
Class B Common Stock 05/03/2021 J( 2 ) 24,180 A $ 0 24,180 I MS 2014 LLC as held by Alan B. Miller
Class B Common Stock 05/03/2021 J( 3 ) 24,180 D $ 0 0 I AMK 2014 LLC as held by The Abby Miller King 2019 GRAT
Class B Common Stock 05/03/2021 J( 3 ) 24,180 A $ 0 24,180 I AMK 2014 LLC as held by Alan B. Miller
Class B Common Stock 145,901 D
Class B Common Stock 16,748 I AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
Class B Common Stock 59,072 I AMK 2014 LLC held by the Abby Miller King 2020 GRAT
Class B Common Stock 130,372 I MDM 2014 LLC as held by The Marc Daniel Miller 2020 GRAT
Class B Common Stock 24,007 I MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class B Common Stock 59,072 I MS 2014 LLC as held by The Marni Spencer 2020 GRAT
Class B Common Stock 16,748 I MS 2014 LLC held by The Marni Spencer 2002 Trust
Class B Common Stock 22,815 I The Abby Danielle Miller 2002 Trust
Class B Common Stock 55,763 I The Abby Miller King 2011 Family Trust
Class B Common Stock 44,110 I The Marc Daniel Miller 2002 Trust
Class B Common Stock 59,900 I The Marc Daniel Miller 2011 Family Trust
Class B Common Stock 43,247 I The Marni Spencer 2002 Trust
Class B Common Stock 55,763 I The 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 (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
Class A Common Stock ( 4 ) 05/03/2021 J( 1 ) 34,216 ( 5 ) ( 6 ) Class B Common Stock 34,216 $ 0 0 I MDM 2014 LLC as held by the Marc Daniel Miller 2019 GRAT
Class A Common Stock ( 4 ) 05/03/2021 J( 1 ) 34,216 ( 5 ) ( 6 ) Class B Common Stock 34,216 $ 0 34,216 I MDM 2014 LLC as held by Alan B. Miller
Class A Common Stock ( 4 ) 05/03/2021 J( 2 ) 24,180 ( 5 ) ( 6 ) Class B Common Stock 24,180 $ 0 0 I MS 2014 LLC as held by The Marni Spencer 2019 GRAT
Class A Common Stock ( 4 ) 05/03/2021 J( 2 ) 24,180 ( 5 ) ( 6 ) Class B Common Stock 24,180 $ 0 24,180 I MS 2014 LLC as held by Alan B. Miller
Class A Common Stock ( 4 ) 05/03/2021 J( 3 ) 24,180 ( 5 ) ( 6 ) Class B Common Stock 24,180 $ 0 0 I AMK 2014 LLC as held by the Abby Miller King 2019 GRAT
Class A Common Stock ( 4 ) 05/03/2021 J( 3 ) 24,180 ( 5 ) ( 6 ) Class B Common Stock 24,180 $ 0 24,180 I AMK 2014 LLC as held by Alan B. Miller
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 532,194 532,194 I A. Miller Family, LLC
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 61,500 61,500 I Abby Danielle Miller Subtrust u/ Miller Family 2017 Trust
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 16,748 16,748 I AMK 2014 LLC held by The Abby Danielle Miller 2002 Trust
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 59,072 59,072 I AMK 2014 LLC held by the Abby Miller King 2020 GRAT
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 118,900 118,900 I By The Abby Miller King Family 2012 Trust
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 118,900 118,900 I By The Marc Daniel Miller Family 2012 Trust
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 118,900 118,900 I By The Marni Spencer Fam ily 2012 Trust
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 61,500 61,500 I Marc Daniel Miller Subtrust u/ Miller Family 2017 Trust
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 61,500 61,500 I Marni Spencer Subtrust u/ Miller Family 2017 Trust
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 97,779 97,779 I MDM 2014 LLC as held by The Marc Daniel Miller 2020 GRAT
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 18,005 18,005 I MDM 2014 LLC held by The Marc Daniel Miller 2002 Trust
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 59,072 59,072 I MS 2014 LLC as held by The Marni Spencer 2020 GRAT
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 16,748 16,748 I MS 2014 LLC held by The Marni Spencer 2002 Trust
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 99,063 99,063 I The Abby Danielle Miller 2002 Trust
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 139,195 139,195 I The Marc Daniel Miller 2002 Trust
Class A Common Stock ( 4 ) ( 5 ) ( 6 ) Class B Common Stock 99,063 99,063 I The Marni Spencer 2002 Trust
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Miller Marc D
UNIVERSAL HEALTH SERVICES, INC.
367 SOUTH GULPH ROAD
KING OF PRUSSIA, PA19406
X President and CEO
Signatures
/s/ Steve Filton, Attorney in Fact for Marc D. Miller 05/05/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )On May 03, 2021, The Marc Daniel Miller 2019 GRAT distributed 22.81049% of the MDM 2014 LLC to Alan B. Miller. Marc Miller disclaims any pecuniary interest in these shares. All distributions hereinbefore described were made pursuant to the terms of the Trust Agreement creating each 2019 GRAT. The MDM 2014 LLC holds 200,000 shares of Class B Common Stock and 150,000 shares of Class A Common Stock.
( 2 )On May 03, 2021, The Marni Spencer 2019 GRAT distributed 24.18044% of the MS 2014 LLC to Alan B. Miller. Marc Miller disclaims any pecuniary interest in these shares. All distributions hereinbefore described were made pursuant to the terms of the Trust Agreement creating each 2019 GRAT. The MS 2014 LLC holds 100,000 shares of Class B Common Stock and 100,000 shares of Class A Common Stock.
( 3 )On May 03, 2021, The Abby Miller King 2019 GRAT distributed 24.18044% of the AMK 2014 LLC to Alan B. Miller. Marc Miller disclaims any pecuniary interest in these shares. All distributions hereinbefore described were made pursuant to the terms of the Trust Agreement creating each 2019 GRAT. The AMK 2014 LLC holds 100,000 shares of Class B Common Stock and 100,000 shares of Class A Common Stock.
( 4 )The Class A Common Stock is convertible into Class B Common Stock on a share for share basis.
( 5 )Immediately.
( 6 )Not Applicable.

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