Statement of Changes in Beneficial Ownership (4)
February 09 2021 - 4:38PM
Edgar (US Regulatory)
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 OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
|
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/YYYY)
2/8/2021 |
|
(Street)
MECHANICSBURG, PA 17055
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. 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 | 2/8/2021 | | G |
V
| 1445195 | D | $0 | 3804805 | I | By the Rocco A. Ortenzio Descendants Trust (1) |
| Common Stock | 2/8/2021 | | G |
V
| 3804805 | D | $0 | 0 | I | By the Rocco A. Ortenzio Descendants Trust (1) |
| Common Stock | | | | | | | | 1445195 (2) | I | By the Rocco A. Ortenzio Separate Non-Exempt Descendants Trust (1) |
| Common Stock | | | | | | | | 3804805 (3) | I | By the Rocco A. Ortenzio Separate Exempt Descendants Trust (1) |
| Common Stock | | | | | | | | 847143 | D | |
| Common Stock | | | | | | | | 1178560 | I | By the Rocco A. Ortenzio Revocable Trust dated 8/14/07, as amended (1) |
| Common Stock | | | | | | | | 1242890 | I | By the Rocco A. Ortenzio October 2019 GRAT (1) |
| Common Stock | | | | | | | | 2000000 | I | By the Rocco A. Ortenzio July 2020 GRAT (1) |
| Common Stock | | | | | | | | 30601 | I | By Select Investments III, L.P. (1) |
| Common Stock | | | | | | | | 16182 | I | By Select AP Investors, L.P. (1) |
| Common Stock | | | | | | | | 10000 | I | By spouse (1) |
| Common Stock | | | | | | | | 56669 | I | By the Rocco A. Ortenzio 2014 Trust for Robert A. Ortenzio (1) |
| Common Stock | | | | | | | | 56668 | I | By the Rocco A. Ortenzio 2014 Trust for Martin J. Ortenzio (1) |
| Common Stock | | | | | | | | 56668 | I | By the Rocco A. Ortenzio 2014 Trust for John M. Ortenzio (1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 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 |
| 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. |
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, PA 17055 | X |
| Vice Chairman and Co-Founder |
|
Signatures
|
| /s/ Michael E. Tarvin, as attorney-in-fact | | 2/9/2021 |
| **Signature of Reporting Person | Date |
Select Medical (NYSE:SEM)
Historical Stock Chart
From Mar 2024 to Apr 2024
Select Medical (NYSE:SEM)
Historical Stock Chart
From Apr 2023 to Apr 2024
