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 *

House John M.
2. Issuer Name and Ticker or Trading Symbol

USMD Holdings, Inc. [ USMD ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__ X __ Director                      _____ 10% Owner
__ X __ Officer (give title below)      _____ Other (specify below)
Chief Executive Officer
(Last)          (First)          (Middle)

1713 DOWLING DRIVE
3. Date of Earliest Transaction (MM/DD/YYYY)

4/29/2015
(Street)

IRVING, TX 75038
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

5/1/2015 
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 ($.01 par value)                  64267   D    
Common Stock ($.01 par value)                  743425   I   Indirectly held through UANT Ventures, L.P  
Common Stock ($.01 par value)                  13248   I   Indirectly held through John M. House MD, P.A  

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
Option to purchaser   $24.84                    8/31/2012   8/31/2017   Common Stock ($0.01 par)   1745   (1)   1745   (1) I   Indirectly held through UANT Ventures, L.P.  
7.25% Convertible Subordinated Note due 2020   $10.61   4/29/2015     P      $250000.00   (2)      4/29/2016     (3) Common Stock ($0.01 par)   23563   $10.61   23563   (4) D    

Explanation of Responses:
( 1)  The number of underlying and derivative securities held by the reporting person was erroneously reported in the original Form 4 as 1,813, rather than the correct 1,745.
( 2)  In connection with a private offering conducted pursuant to Regulation D of the Securities Act of 1933, as amended, the issuer issued a 7.25% convertible subordinated note in the principal amount of $250,000 to the reporting person.
( 3)  The noteholder has the right at any time after April 29, 2016 but prior to the payment in full of the note by the issuer, to convert all or any portion of the unpaid principal balance of the note into shares of the issuer's common stock. This conversion right expires on November 1, 2020, the maturity date of the note, or upon the earlier payment in full of the unpaid principal balance of the note
( 4)  The number of derivative securities reported in Table II, Column 9 was erroneously reported as 26,563, rather than the correct 23,563.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
House John M.
1713 DOWLING DRIVE
IRVING, TX 75038
X
Chief Executive Officer

Signatures
/s/ John M. House 8/30/2016
** 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 control number.
Usmd Holdings, Inc. (MM) (NASDAQ:USMD)
Historical Stock Chart
From May 2024 to Jun 2024 Click Here for more Usmd Holdings, Inc. (MM) Charts.
Usmd Holdings, Inc. (MM) (NASDAQ:USMD)
Historical Stock Chart
From Jun 2023 to Jun 2024 Click Here for more Usmd Holdings, Inc. (MM) Charts.