Ortenzio Robert A Form 4 SELECT MEDICAL / ROBERT A ORTENZIO ownership change

SEC Form 4

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 ROBERT A

(Last) (First) (Middle)

C/O SELECT MEDICAL HOLDINGS CORPORATION

4714 GETTYSBURG ROAD

(Street)

MECHANICSBURG PA 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)
Exec. Chairman and Co-Founder

3. Date of Earliest Transaction (Month/Day/Year)
11/26/2019

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)
			Code	V	Amount	(A) or (D)	Price
Common Stock	11/26/2019		G	V	56,669	A	$0	56,669(1)	I	By the Rocco A. Ortenzio 2014 Trust for Robert A. Ortenzio(6)
Common Stock								6,704,495(2)	D
Common Stock								800,000	I	By the Robert A. Ortenzio October 2019 GRAT(6)
Common Stock								54,553(3)	I	By the Robert A. Ortenzio 2014 Trust for Bryan A. Ortenzio(6)
Common Stock								54,553(4)	I	By the Robert A. Ortenzio 2014 Trust for Kevin M. Ortenzio(6)
Common Stock								54,552(5)	I	By the Robert A. Ortenzio 2014 Trust for Madeline G. Ortenzio(6)
Common Stock								2,750,000	I	By the Rocco A. Ortenzio Descendants Trust(6)
Common Stock								1,300,000	I	By the Robert A. Ortenzio Descendants Trust(6)

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)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. The shares were previously owned by, and contributed by, the Rocco A. Ortenzio July 2017 GRAT to the Rocco A. Ortenzio 2014 Revocable Trust for Robert A. Ortenzio.

2. 441,231 shares were previously owned by, and contributed by, the Robert A. Ortenzio July 2017 GRAT to Robert A. Ortenzio.

3. 22,667 shares were previously owned by, and contributed by, the Robert A. Ortenzio July 2017 GRAT to the Robert A. Ortenzio 2014 Trust for Bryan A. Ortenzio.

4. 22,667 shares were previously owned by, and contributed by, the Robert A. Ortenzio July 2017 GRAT to the Robert A. Ortenzio 2014 Trust for Kevin M. Ortenzio.

5. 22,667 shares were previously owned by, and contributed by, the Robert A. Ortenzio July 2017 GRAT to the Robert A. Ortenzio 2014 Trust for Madeline G. Ortenzio.

6. The reporting person beneficially owns the reported securities indirectly, but disclaims beneficial ownership to the reported securities except to the extent of his pecuniary interest therein.

	/s/ Michael E. Tarvin, as attorney-in-fact	12/02/2019
	** 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).
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