DEF 14A
1
ddef14a.txt
DEFINITIVE PROXY STATEMENT FOR UHT
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 14A
Proxy Statement Pursuant to Section 14(a) of the Securities
Exchange Act of 1934 (Amendment No. )
Filed by the Registrant [X]
Filed by a Party other than the Registrant [_]
Check the appropriate box:
[_] Preliminary Proxy Statement
[_] CONFIDENTIAL, FOR USE OF THE
COMMISSION ONLY (AS PERMITTED BY
RULE 14A-6(E)(2))
[X] Definitive Proxy Statement
[_] Definitive Additional Materials
[_] Soliciting Material Pursuant to (S) 240.14a-11(c) or (S) 240.14a-12
Universal Health Realty Income Trust
--------------------------------------------------------------------------------
(Name of Registrant as Specified In Its Charter)
--------------------------------------------------------------------------------
(Name of Person(s) Filing Proxy Statement, if other than the Registrant)
Payment of Filing Fee (Check the appropriate box):
[X] No fee required.
[_] Fee computed on table below per Exchange Act Rules 14a-6(i)(4) and 0-11.
(1) Title of each class of securities to which transaction applies:
-------------------------------------------------------------------------
(2) Aggregate number of securities to which transaction applies:
-------------------------------------------------------------------------
(3) Per unit price or other underlying value of transaction computed
pursuant to Exchange Act Rule 0-11 (set forth the amount on which
the filing fee is calculated and state how it was determined):
-------------------------------------------------------------------------
(4) Proposed maximum aggregate value of transaction:
-------------------------------------------------------------------------
(5) Total fee paid:
-------------------------------------------------------------------------
[_] Fee paid previously with preliminary materials.
[_] Check box if any part of the fee is offset as provided by Exchange
Act Rule 0-11(a)(2) and identify the filing for which the offsetting fee
was paid previously. Identify the previous filing by registration statement
number, or the Form or Schedule and the date of its filing.
(1) Amount Previously Paid:
-------------------------------------------------------------------------
(2) Form, Schedule or Registration Statement No.:
-------------------------------------------------------------------------
(3) Filing Party:
-------------------------------------------------------------------------
(4) Date Filed:
-------------------------------------------------------------------------
Notes:
UNIVERSAL HEALTH REALTY INCOME TRUST
UNIVERSAL CORPORATE CENTER
367 SOUTH GULPH ROAD
KING OF PRUSSIA, PENNSYLVANIA 19406
NOTICE OF ANNUAL MEETING OF SHAREHOLDERS
June 1, 2001
Notice is hereby given that the Annual Meeting of Shareholders of Universal
Health Realty Income Trust (the "Trust") will be held on Friday, June 1, 2001
at 10:00 AM, at the offices of the Trust, Universal Corporate Center, 367
South Gulph Road, King of Prussia, Pennsylvania for the following purposes:
(1) To have the holders of Trust Shares elect two Class III Trustees,
both Trustees to serve for a term of three years, until the annual
election of Trustees in the year 2004 and election and
qualification of their successors.
(2) To transact such other business as may properly come before the
meeting or any adjournment thereof.
Only shareholders of record at the close of business on April 20, 2001 are
entitled to vote at the Annual Meeting.
All shareholders are cordially invited to attend the meeting in person. IN
ANY EVENT, PLEASE MARK YOUR VOTES, THEN DATE AND SIGN THE ENCLOSED FORM OF
PROXY AND RETURN IT PROMPTLY IN THE ENCLOSED POSTAGE-PAID ENVELOPE WHETHER OR
NOT YOU CURRENTLY PLAN TO ATTEND THE ANNUAL MEETING. YOU MAY REVOKE YOUR PROXY
IF YOU DECIDE TO ATTEND THE ANNUAL MEETING AND WISH TO VOTE YOUR SHARES IN
PERSON.
BY ORDER OF THE BOARD OF TRUSTEES
/s/ Kirk E. Gorman
KIRK E. GORMAN
Secretary
King of Prussia, Pennsylvania
April 27, 2001
SKU0802-PS-01
UNIVERSAL HEALTH REALTY INCOME TRUST
Universal Corporate Center
367 South Gulph Road
King of Prussia, PA 19406
PROXY STATEMENT
GENERAL
This Proxy Statement is furnished to the shareholders of Universal Health
Realty Income Trust, a real estate investment trust organized under the laws
of the State of Maryland (the "Trust"), in connection with the solicitation of
Proxies by the Board of Trustees for use at the Annual Meeting of
Shareholders, to be held at Universal Corporate Center, 367 South Gulph Road,
King of Prussia, Pennsylvania on Friday, June 1, 2001 at 10:00 AM, and at any
adjournment thereof. This Proxy Statement and related form of Proxy were first
sent to shareholders of the Trust on or about April 27, 2001. The Annual
Meeting is being held to: (1) elect two Class III Trustees of the Trust, both
of whom will serve for a term of three years until the annual election of
Trustees in the year 2004 and the election and qualification of their
successors; and (2) transact such other business as may properly be brought
before the meeting or any adjournment thereof.
A form of Proxy for use at the meeting is enclosed. Any shareholder may
revoke a Proxy at any time before the authority granted by it is exercised by
giving written notice of revocation to the Secretary of the Trust, by
submitting another executed Proxy to the Secretary of the Trust bearing a
later date (but prior to the voting of such Proxy), or by attending the
meeting and asking (prior to the voting of such Proxy) for the return of such
Proxy. Unless otherwise indicated on the Proxy, shares represented by any
Proxy will, if the Proxy is properly executed and received by the Trust prior
to the Annual Meeting, be voted FOR the nominees for Trustees.
Only holders of record of the shares of beneficial interest of the Trust,
par value $.01 per share (the "Shares"), at the close of business on April 20,
2001 will be entitled to vote at the meeting. On that date, there were
8,985,991 Shares outstanding. Each Share is entitled to one vote on each of
the matters to be presented at the meeting. Shareholders entitled to vote for
the election of the Trustees can withhold authority to vote for them. Each
nominee will be elected if he receives a plurality of the votes cast. Broker
non-votes are treated as shares as to which the beneficial owners have
withheld voting authority and therefore are shares not entitled to vote on the
matter. As of April 20, 2001, the Trust's current trustees and officers as a
group owned of record or beneficially 171,369 Shares, representing 1.9% of the
outstanding Shares.
A copy of the Trust's Annual Report to Shareholders, including financial
statements for the year ended December 31, 2000, is enclosed.
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
The following table sets forth as of February 28, 2001, the number of Shares
and the percentage of outstanding Shares owned beneficially, within the
meaning of Securities and Exchange Commission Rule 13d-3, (i) by each person
who is known by the Trust to own beneficially more than 5% of its Shares (ii)
by each Trustee and each executive officer named in the Summary Compensation
Table and (iii) by all Trustees and executive officers of the Trust as a
group.
1
Name and Address of Amount and Nature of Percent of
Beneficial Owner(1) Beneficial Ownership Outstanding Shares
------------------- -------------------- ------------------
Universal Health Services, Inc.
("UHS") 761,724(2) 8.5%
367 South Gulph Road
King of Prussia, PA 19406
Private Capital Management, Inc. 491,638(3) 5.5%
3003 Tamiami Trail North
Naples, FL 33940
Idanta Partners, Ltd. 582,919(4) 6.5%
4660 La Jolla Village Dr., Suite 850
San Diego, CA 92122
Miles L. Berger 2,500(6) (7)
Berger Management Services, LLC
900 N. Michigan Ave., Suite 2010
Chicago, IL 60611
Daniel M. Cain 4,824(6) (7)
Cain Brothers & Company, LLC
452 Fifth Avenue, 25th Floor
New York, NY 10018
James E. Dalton, Jr. 2,125(6) (7)
Quorum Health Group
103 Continental Place
Brentwood, TN 37027
Elliot J. Sussman, M.D., M.B.A. 250(6) (7)
Lehigh Valley Hospital & Health
Network
Cedar Crest Blvd. & Interstate 78
Allentown, PA 18105
Myles H. Tanenbaum 7,125(6) (7)
Arbor Enterprises
Four Tower Bridge, Suite 400
200 Barr Harbor Drive
W. Conshohocken, PA 19428
Alan B. Miller 98,250(5)(6) (7)
Kirk E. Gorman 30,478(6) (7)
Charles F. Boyle 9,886(6) (7)
Cheryl K. Ramagano 7,633(6) (7)
Timothy J. Fowler 8,301(6) (7)
3525 Piedmont Rd., N.E.
Atlanta, GA 30305
All Trustees & Executive Officers as a
group (10 persons) 171,369(6) 1.9%
----------
(1) Unless otherwise shown, the address of each beneficial owner is c/o
Universal Health Realty Income Trust, Universal Corporate Center, 367
South Gulph Road, King of Prussia, PA 19406.
(2) UHS has an option to maintain ownership of 5% of the outstanding Shares
of the Trust.
(3) Shares are held by Private Capital Management, Inc., a registered
investment adviser. Information is based on Amendment No. 7 to Schedule
13G dated February 15, 2001.
(4) Shares are held by Idanta Partners, Ltd., a Texas limited partnership,
and its General Partner, David J. Dunn. Information is based on a
Shareholder Statement dated March 27, 2001.
(5) Includes 12,000 shares of beneficial interest beneficially owned by the
Alan B. Miller Family Foundation, Alan B. Miller, as Trustee.
(6) Includes shares issuable pursuant to stock options to purchase shares of
beneficial interest held by officers of the Trust and exercisable within
60 days of February 28, 2001 as follows: Miles L. Berger (1,500); Daniel
M. Cain (2,125); James E. Dalton, Jr. (2,125); Elliot J. Sussman, M.D.,
M.B.A. (250); Myles H. Tanenbaum (2,125); Alan B. Miller (73,750); Kirk
E. Gorman (9,375); Charles F. Boyle (5,625); Cheryl K. Ramagano (5,625);
and Timothy J. Fowler (5,625).
(7) Less than 1%.
2
PROPOSAL NO. 1
ELECTION OF TRUSTEES
The Trust was organized under the laws of the State of Maryland as a real
estate investment trust on August 6, 1986. Trustees of the Trust, Mr. Miller,
and Mr. Cain, assumed their positions with the Trust at the inception of the
Trust. Mr. Tanenbaum was elected in November 1990, Mr. Gorman was elected in
December 1994, Mr. Dalton was elected in December 1997, Mr. Berger was elected
in December 1998 and Dr. Sussman was elected in 1999. Pursuant to the
Declaration of Trust, the Trustees of the Trust have been divided into three
classes, with staggered terms. The terms of the Trustees in Class I expire at
the 2002 Annual Meeting, the terms of the Trustees in Class II expire at the
2003 Annual Meeting, and the terms of the Trustees in Class III expire at the
2001 Annual Meeting. At each Annual Meeting, Trustees are elected for a term
of three years to succeed those in the class whose term is expiring at such
Annual Meeting.
The persons listed below currently constitute the Trust's Board of Trustees.
The terms of the Class III Trustees, Kirk E. Gorman and Miles L. Berger, Jr.,
expire at the 2001 Annual Meeting. They have been nominated to be elected for
three-year terms. The Trustees have no reason to believe that the nominees
will be unavailable for election; however, if the nominees become unavailable
for any reason, the Shares represented by the Proxy will be voted for the
persons, if any, who are designated by the Board of Trustees to replace the
nominees. The nominees have consented to be named and have indicated their
intent to serve if elected.
Pursuant to the Declaration of Trust, a majority of the Trust's Trustees
must be "Independent Trustees" with each class of Trustees containing at least
one Independent Trustee. The Declaration of Trust defines an "Independent
Trustee" as a Trustee who is not an affiliate of Universal Health Services,
Inc. ("UHS"), the parent company of the Trust's Advisor, and does not perform
any services for the Trust, except as Trustee.
The following information is furnished with respect to the nominee for
election as a Trustee and each member of the Board of Trustees whose term of
office will continue after the meeting.
Class of Principal Occupation Trustee
Name Trustee Age During the Last Five Years Since
---- -------- --- -------------------------- -------
NOMINEES WHOSE TERMS
EXPIRE IN 2001
--------------------
Kirk E. Gorman III 50 President and Chief Financial Officer of 1994
the Trust since 1990, Secretary of the
Trust since December 1994 and Vice Pres-
ident and Chief Financial Officer of the
Trust since 1987. Senior Vice President,
Treasurer and Chief Financial Officer of
UHS since December 1992.
Miles L. Berger* III 70 Chairman of the Board of MidTown Bank 1998
and 1998 Trust Company of Chicago, Ber-
ger Financial Services Corp., and Berger
Management Services; Director, Franklin
Capital Corp.; Trustee, Innkeepers Trust
USA.
TRUSTEES WHOSE TERMS
EXPIRE IN 2002
--------------------
Alan B. Miller I 63 Chairman of the Board and Chief Execu- 1986
tive Officer of the Trust since 1986.
Chairman of the Board, President and
Chief Executive Officer of Universal
Health Services, Inc. since 1978. Direc-
tor of CDI (NYSE) Corp., Penn Mutual
Life Insurance Company and Broadlane,
Inc.
3
Class of Principal Occupation Trustee
Name Trustee Age During the Last Five Years Since
---- -------- --- -------------------------- -------
Myles H. Tanenbaum* I 70 Chairman of the Board of Arbor Enter- 1990
prises since 1989. Formerly President
and CEO of both Arbor Property Trust
(NYSE) (successor to EQK Green Acres,
L.P.), 1986-1997, and EQK Realty Invest-
ors (NYSE), 1985-89. Director of Pep
Boys (NYSE) and The Benjamin Franklin
Institute, and member of the Board of
Trustees of the University of Pennsylva-
nia.
Elliot J. Sussman, MD, I 49 President and Chief Executive Officer of 1999
MBA* Lehigh Valley Hospital and Health Net-
work since 1993.
TRUSTEES WHOSE TERMS
EXPIRE IN 2003
----------------------
Daniel M. Cain* II 56 President and CEO, Cain Brothers & Com- 1986
pany, LLC since 1986. Prior thereto, se-
nior partner in Cain Brothers & Company
since 1982. Mr. Cain is a Trustee of N-
Vest Mutual Funds (NYSE) and eBenX, an
employee benefits internet provider.
James E. Dalton, Jr.* II 58 President, Chief Executive Officer and 1997
Director of Quorum Health Group, Inc.
since 1990. Prior thereto, Regional Vice
President of Health Trust, Inc., Divi-
sion Vice President of Hospital Corpora-
tion of America, and Regional Vice Pres-
ident of HCA Management Company. Direc-
tor of AmSouth Bancorporation, the Nash-
ville Branch of The Federal Reserve Bank
of Atlanta, the Nashville Health Care
Council, the Federation of American
Health Systems, and a Trustee of the
American Hospital Association.
----------
* Independent Trustee
Section 16(a) Beneficial Ownership Reporting Compliance
Section 16(a) of the Securities Exchange Act of 1934 requires the Trust's
trustees and executive officers, and persons who own more than ten percent of
a registered class of the Trust's equity securities, to file with the
Securities and Exchange Commission and the New York Stock Exchange initial
reports of ownership and reports of changes in ownership of the Shares and
other equity securities of the Trust. Based on reports filed with the Trust,
the Trust believes all required reports of executive officers and Trustees
were filed in a timely manner.
The Trust's officers are all employees of UHS of Delaware, Inc. ("UHS") and
as of December 31, 2000, the Trust had no salaried employees. In 1999, 2000
and 2001, the Trustees awarded a $50,000 bonus to Mr. Kirk E. Gorman,
President, Chief Financial Officer, Secretary and Trustee of the Trust. Also,
in 1999, 2000 and 2001, UHS agreed to a $50,000 reduction in the annual
advisory fee paid by the Trust. The Trust paid no cash compensation in 1998.
The following tables set forth various information with respect to the
compensation of the five most highly compensated officers of the Trust.
4
Universal Health Realty Income Trust
Summary Compensation Table
Long-term
Compensation
Annual Compensation Awards
---------------------------- ---------------------
Other Restricted Securities
Annual stock Underlying All
Fscal Salary Compensation awards Options Other
Name and principal position Year ($) Bonus($) ($)(a) ($) (#) Compensation
--------------------------- ----- ------ -------- ------------ ---------- ---------- ------------
Alan B. Miller, 2000 -- -- $82,800 -- 20,000 --
Chairman of the Board and 1999 -- -- 45,250 -- -- --
Chief Executive Officer 1998 -- -- 43,875 -- -- --
Kirk E. Gorman, 2000 -- $50,000 $23,000 -- -- --
President, Chief Financial 1999 -- 50,000 22,625 -- -- --
Officer, Secretary and Trustee 1998 -- -- 21,938 -- -- --
Charles F. Boyle, 2000 -- -- $13,800 -- -- --
Vice President and Controller 1999 -- -- 13,575 -- -- --
1998 -- -- 13,163 -- -- --
Cheryl K. Ramagano, 2000 -- -- $13,800 -- -- --
Vice President and Treasurer 1999 -- -- 13,575 -- -- --
1998 -- -- 13,163 -- -- --
Timothy J. Fowler, 2000 -- -- $13,800 -- -- --
Vice President, 1999 -- -- 13,575 -- -- --
Acquisition and Development 1998 -- -- 13,163 -- -- --
----------
(a) Other Annual Compensation in 2000, 1999 and 1998 for Messrs. Miller,
Gorman, Boyle and Fowler and Ms. Ramagano consists of dividend equivalent
rights accrued in connection with the Trust's 1997 Incentive Plan. Mr.
Miller held 45,000 dividend equivalent rights as of December 31, 2000 and
25,000 dividend equivalent rights as of December 31, 1999 and 1998. As of
December 31, 2000, 1999 and 1998, Messrs. Gorman, Boyle, Fowler and Ms.
Ramagano held 12,500, 7,500, 7,500 and 7,500 dividend equivalent rights,
respectively. The Other Annual Compensation amounts shown above were
computed by multiplying each participants dividend equivalent rights by
the declared dividends per share of $1.84 in 2000, $1.810 in 1999 and
$1.755 in 1998.
Option Grants In Last Fiscal Year
Potential Realizable
Value at Assumed
Annual Rates of
Percent of Total Stock Price Appreciation
Name Options Options Granted Exercise Price for Option Term
---- Granted to Officers in Per Share Expiration -------------------------
(#)(a) Fiscal Year ($/Share) Date 5% 10%
------- ---------------- -------------- ---------- ------------ ------------
Alan B. Miller.......... 20,000 100% $14.75 3/10/2010 $ 185,524 $ 470,154
Kirk E. Gorman.......... -- -- -- -- -- --
Charles F. Boyle........ -- -- -- -- -- --
Cheryl K. Ramagano...... -- -- -- -- -- --
Timothy J. Fowler....... -- -- -- -- -- --
(a) Options are exercisable as follows: 25% one year after date of grant and
an additional 25% in each of the second, third and fourth years after the
date of grant. The options expire ten years after the date of grant.
5
Aggregated Option Exercises in Last Fiscal Year
and Fiscal Year-End Option Values
Number of Securities
Underlying Value of Value of Unexercised in-
Unexercised Options at the-Money Options at
Name Shares Fiscal Year-end(#) Fiscal Year-end($)(1)
---- Acquired on Value ------------------------- -------------------------
Exercise(#) Realized($) Exercisable Unexercisable Exercisable Unexercisable
----------- ----------- ----------- ------------- ----------- -------------
Alan B. Miller.......... 0 0 68,750 26,250 $173,438 $110,313
Kirk E. Gorman.......... 0 0 9,375 3,125 $ 11,719 $ 3,906
Charles F. Boyle........ 0 0 5,625 1,875 $ 7,031 $ 2,344
Cheryl K. Ramagano...... 0 0 5,625 1,875 $ 7,031 $ 2,344
Timothy J. Fowler....... 0 0 13,649 1,875 $ 37,121 $ 2,344
(1) Based on the difference between the exercise price (excluding effect of
dividend equivalent rights) and the closing price of the share of
beneficial interest on the New York Stock Exchange on December 29, 2000
of $19.875 per share.
Report of Compensation and Benefits Committee
The Trust has established incentive plans to incentivize those persons to
render greater service to the Trust. During 1997, the Trust's Board of
Trustees approved the Universal Health Realty Income Trust 1997 Incentive Plan
("The Plan"), which is a stock option and dividend equivalent rights plan for
the employees of the Trust, including officers and directors. There are
400,000 shares reserved for issuance under the Plan. As of December 31, 2000,
299,375 stock options and 299,375 dividend equivalent rights remain available
for issuance pursuant to the terms of The Plan. In connection with this Plan,
on March 10, 2000, Mr. Alan B. Miller was granted 20,000 stock options and
20,000 dividend equivalent rights. Also on March 10, 2000, 1,000 stock options
and 1,000 dividend equivalent rights were granted to each of the following
members of the Board of Trustees: Messrs. Myles L. Berger, Daniel M. Cain,
James E. Dalton, Jr., Elliot J. Sussman, M.D., M.B.A. and Myles H. Tanenbaum.
The stock options granted on March 10, 2000 to the individuals listed above
were granted with an exercise price of $14.75 per share representing the
closing sale price of the Trust's shares of beneficial interest on the New
York Stock Exchange on the date of grant. Prior to 2000, a net total of 75,625
stock options and 75,625 dividend equivalent rights (excluding cancelled stock
options and dividend equivalent rights) were granted to various officers and
Trustees of the Trust.
The Compensation and Benefits Committee, which is composed of independent
trustees of the Trust, believes that in the general absence of cash
compensation, it is important to provide the officers of the Trust, including
the chief executive officer, an incentive to increase shareholder value by
awarding equity based compensation. Because the substantial portion of the
return of real estate investment trusts like the Trust is comprised of the
dividend payable on the shares rather than share price appreciation the
Committee believes that the 1997 Incentive Plan with its dividend equivalent
rights feature provides the appropriate incentive for officers and directors
of the Trust. The Committee believes that Mr. Gorman's special efforts on
behalf of the Trust merit a special cash bonus of $50,000 for each of the
years 2001, 2000 and 1999. As Mr. Gorman is compensated by UHS which, as the
Trust's advisor, received an advisory fee, UHS has elected to reduce this
advisory fee in each year by the amount of Mr. Gorman's bonus thus resulting
in no net cost to the Trust. The Committee will evaluate from time to time the
compensation payable to its officers in light of the performance of the Trust,
the individuals involved and competitive factors.
COMPENSATION AND BENEFITS COMMITTEE
Daniel M. Cain
James E. Dalton Jr.
Myles H. Tanenbaum
6
COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION
Mr. Daniel M. Cain has from time to time performed investment banking
services for the Trust. No compensation was paid to him for any services in
2000.
STOCK PRICE PERFORMANCE GRAPH
The Stock Price Performance Graph below shall not be deemed incorporated by
reference by any general statement incorporating by reference this proxy
statement into any filing under the Securities Act of 1933 or under the
Securities Exchange Act of 1934, except to the extent the Trust specifically
incorporates this information by reference, and shall not otherwise be deemed
filed under such Acts.
COMPARISON OF FIVE YEAR CUMULATIVE TOTAL RETURN
(The Trust, S&P 500, Peer Group)
[Graph]
1995 1996 1997 1998 1999 2000
Universal Health Realty
Income Trust $100.00 $125.14 $144.99 $141.93 $117.01 $175.96
S&P 500 $100.00 $122.96 $163.98 $210.85 $255.21 $231.98
Peer Group $100.00 $123.38 $147.26 $125.25 $ 88.23 $100.57
The total cumulative return on investment (change in the year-end stock price
plus reinvested dividends) for each of the periods for the Trust, the peer
group and the S&P 500 Composite is based on the stock price or composite index
at the end of fiscal 1994.
7
The above graph compares the performance of the Trust with that of the S&P
500 and a group of peer companies with the investment weighted on market
capitalization. Companies in the peer group are as follows: Health Care
Property Investors, Inc., Nationwide Health Properties, Inc., American Health
Properties, Inc., Omega Healthcare Investors, Health Care REIT, Inc., G&L
Realty Corp., Healthcare Realty Trust Incorporated, LTC Properties, Inc.,
National Health Investors, Inc. and National Health Realty, Inc.
BOARD OF TRUSTEES
MEETINGS OF THE BOARD
Regular meetings of the Trustees are generally held quarterly, while special
meetings are called when necessary. Before each meeting, Trustees are
furnished with an agenda and background materials relating to matters to be
discussed. During 2000, there were seven Board meetings. All Trustees attended
at least 75% of the meetings.
COMPENSATION OF TRUSTEES
Beginning in 2000, each Independent Trustee is paid by the Trust annual
compensation of $10,000 for service as a Trustee plus $1,000 for attendance,
in person, at each meeting of the Board of Trustees plus an additional $500
for attendance for each Committee meeting thereof on a day on which the Board
of Trustees does not meet. In addition, the Trust reimburses all Trustees for
travel expenses incurred in connection with their duties as Trustees of the
Trust. In 1992, the Board of Trustees and the shareholders adopted a Share
Compensation Plan For Outside Trustees, pursuant to which Trustees may elect
to receive their annual compensation in the form of Shares in lieu of cash. No
Trustee elected to receive Shares in 2000. During 1997, the Trust's Board of
Trustees approved the Universal Health Realty Income Trust 1997 Incentive Plan
("The Plan"), which is a stock option and dividend equivalent rights plan for
the employees of the Trust, including officers and directors. The Plan was
adopted by the shareholders at the 1998 Annual Shareholders Meeting. There are
400,000 shares reserved for issuance under the Plan. In connection with this
plan, Messrs. Daniel M. Cain and Myles H. Tanenbaum each received 2,500 stock
options and 2,500 dividend equivalents rights with an exercise price of
$18.625 per share representing the closing sale price of the Trust's shares of
beneficial interest on the New York Stock Exchange on June 23, 1997. In March
1998, Mr. James E. Dalton, Jr. received 2,500 stock options and 2,500 dividend
equivalent rights, with an exercise price of $21.4375 per share representing
the closing sale price of the Trust's shares of beneficial interest on the
date of grant. In December 1998, Mr. Miles L. Berger received 2,500 stock
options and 2,500 dividend equivalent rights, with an exercise price of
$19.625 per share representing the closing sale price of the Trust's shares of
beneficial interest on the date of grant. In March 2000, Messrs. Daniel M.
Cain, Myles H. Tanenbaum, James E. Dalton Jr., Miles L. Berger and Elliot J.
Sussman, M.D., M.B.A. each received 1,000 stock options and 1,000 dividend
equivalent rights, with an exercise price of $14.75 per share representing the
closing sale price of the Trust's shares of beneficial interest on the date of
grant.
AUDIT COMMITTEE
The Audit Committee is responsible for providing assistance to the Board of
Trustees in fulfilling its responsibilities relating to corporate accounting
and reporting practices and in maintaining a direct line of communication
between the Trustees and the independent accountants. It recommends the firm
to be appointed independent auditor, reviews the scope and results of the
audit with the independent auditors and considers the adequacy of the internal
accounting and control procedures of the Company. The Audit Committee met once
in 2000. Members of this Committee are Daniel M. Cain, James E. Dalton, Jr.
and Myles H. Tanenbaum.
8
AUDIT COMMITTEE REPORT
The Audit Committee of the Trustees of Universal Health Realty Income Trust
(the Committee) is composed of three independent Trustees and operates under a
written charter adopted by the Board of Trustees (Exhibit A).
The Board of Trustees has determined that each Committee member is independent
in accordance with the listing standards of the New York Stock Exchange.
Management is responsible for the Trust's internal controls and the
financial reporting process. The independent auditors are responsible for
performing an independent audit of the Trust's consolidated financial
statements in accordance with generally accepted auditing standards and to
issue a report thereon. The Committee's responsibility is to monitor and
oversee these processes.
In this context, the Committee has met and held discussions with management
and the independent auditors. Management represented to the Committee that the
Trust's consolidated financial statements were prepared in accordance with
generally accepted accounting principles, and the Committee has reviewed and
discussed the consolidated financial statements with management and the
independent auditors. The Committee discussed with the independent auditors
matters required to be discussed by Statement on Auditing Standards No. 61
(Communication with Audit Committees).
Arthur Andersen LLP, the Trust's independent auditors, also provided to the
Committee the written disclosures required by Independence Standards Board
Standard No. 1 (Independence Discussions with Audit Committees), and the
Committee discussed with Arthur Andersen LLP their independence as independent
auditors of the Trust.
Based on the Committee's discussion with management and Arthur Andersen LLP,
and the Committee's review of the representation of management and the report
of Arthur Andersen LLP to the Committee, the Committee recommended to the
Board of Trustees, and the Board has approved, that the audited consolidated
financial statements be included in the Trust's Annual Report on Form 10-K for
the year ended December 31, 2000, for filing with the Securities and Exchange
Commission. The Committee and the Board also have approved the selection of
Arthur Andersen LLP as the Trust's independent auditors.
Audit Committee
Myles H. Tanenbaum
James E. Dalton, Jr.
Daniel M. Cain
9
COMPENSATION AND BENEFITS COMMITTEE
The Compensation and Benefits Committee was established December 1, 1988 and
is responsible for administering the 1997 Incentive Plan, Restricted Share
Purchase Plan and the Stock Option Plan. It has full authority in its
discretion from time to time, and at any time, to select those employees of
the Trust, as the term employee is defined in the plans, to whom Shares or
options will be granted, to determine the number of Shares subject thereto,
the times at which such Shares shall be sold or options granted, the time at
which the restrictions on the Shares shall lapse or the options shall vest,
and the terms and conditions of the agreements to be entered into by the
employees with the Trust. The Compensation and Benefits Committee met three
times in 2000. Members of this Committee are Daniel M. Cain, James E. Dalton,
Jr. and Miles L. Berger.
TRANSACTIONS WITH MANAGEMENT AND OTHERS
RELATIONSHIP WITH UHS
THE ADVISOR AND THE ADVISORY AGREEMENT
The Trust, with the approval of the Board of Trustees, including all the
Independent Trustees, has entered into an Advisory Agreement with UHS of
Delaware, Inc. (the "Advisor"), a Delaware corporation and wholly owned
subsidiary of UHS, pursuant to which the Advisor will act as advisor to the
Trust with respect to the Trust's operations. Mr. Alan B. Miller serves as
Director and President of the Advisor and of UHS. ; Mr. Kirk E. Gorman serves
as Director and Chief Financial Officer of the Advisor ; Mr. Steve Filton
serves as Director, Vice President and Controller of the Advisor ; Mr. Bruce
R. Gilbert serves as Secretary of the Advisor. Alan B. Miller is Chairman of
the Board and Chief Executive Officer of the Trust, Kirk E. Gorman is
President, Chief Financial Officer, Secretary and Trustee of the Trust,
Charles F. Boyle is Vice President and Controller of the Trust, Cheryl K.
Ramagano is Vice President and Treasurer of the Trust, Timothy J. Fowler is
Vice President, Acquisitions and Development, of the Trust, and Bruce R.
Gilbert serves as General Counsel to the Trust. All such persons are also
employees of the Advisor. Mr. James Dalton an Independent Trustee is President
and Chief Executive Officer of Quorum Health Group, Inc. Affiliates of Quorum
Health Group, Inc. and UHS are members of a limited liability company which
owns and operates three hospitals. Under the Advisory Agreement, the Advisor
is obligated to present an investment program to the Trust, to use its best
efforts to obtain investments suitable for such program (although it is not
obligated to present any particular investment opportunity to the Trust), to
provide administrative services to the Trust and to conduct the Trust's day-
to-day affairs. In performing its services under the Advisory Agreement, the
Advisor may utilize facilities, personnel and support services of various UHS
affiliates, including accounting, legal and other services, for which the
Advisor will be reimbursed directly by the Trust, but only if such services
are first approved by a majority of the Independent Trustees. No additional
compensation will be paid by the Trust for these services.
The term of the Advisory Agreement expired on December 31, 2000. The Board
of Trustees, on December 6, 2000, voted to renew the Advisory Agreement for
2001. The Advisory Agreement is renewable annually thereafter by the Trust,
subject to a determination by a majority of the Independent Trustees that the
Advisor's performance has been satisfactory, and subject to the termination
rights of the parties. The Advisory Agreement may be terminated for any reason
upon sixty days' written notice by the Trust or the Advisor.
The Advisory Agreement does not restrict the Advisor from rendering advice
to other investors (including other real estate investment trusts) or from
managing other investments, including those of investors or investments
advised, sponsored or organized by the Advisor. The Advisor also may render
such services to joint ventures and partnerships in which the Trust is a co-
venturer or partner and to the other entities in such joint ventures and
partnerships, and the Advisor is not obligated to present any particular
investment opportunity to the Trust. There is no restriction on the right of
any director, officer, employee or stockholder of the Advisor, or
10
any affiliate of UHS, to engage in any other business or to render services of
any kind to any other corporation, partnership or other entity (including
competitive business activities). The Advisor has informed the Board of
Trustees that it does not presently intend to provide advisory services to any
other real estate investment trust and has agreed to inform the Board of any
change in such intention.
Pursuant to the Advisory Agreement, the Trust paid the Advisor $1.3 million
in consideration for services rendered by the Advisor to the Trust during
fiscal 2000. UHS agreed to reduce its 1999, 2000 and 2001 advisory fee by the
cash bonus paid by the Trust to Mr. Kirk Gorman. The Advisory Agreement
provides that the Advisor is entitled to receive an annual advisory fee equal
to .60% of the average invested real estate assets of the Trust, as derived
from its consolidated balance sheet from time to time. In addition, the
Advisor will be entitled to an annual incentive fee equal to 20% of the amount
by which cash available for distribution to shareholders for each year, as
defined in the Advisory Agreement, exceeds 15% of the Trust's equity as shown
on its balance sheet, determined in accordance with generally accepted
accounting principles without reduction for return of capital dividends. No
incentive fees were paid during 2000, 1999 or 1998. The advisory fee is
payable quarterly, subject to adjustment at year end based upon audited
financial statements of the Trust.
PROPERTIES
The Trust effectively commenced business on December 24, 1986, the closing
date for the purchase of properties from certain subsidiaries of UHS (the
"Subsidiaries"). In exchange for shares of beneficial interest, $.01 par
value, in the Trust, the Trust acquired 10 properties (the "Initial
Properties") from the Subsidiaries having an appraised value of approximately
$122,000,000. The Initial Properties were immediately leased back to the
respective Subsidiaries. In March 1988, the Trust acquired the real property
of a 118-bed acute care hospital operated by a subsidiary of UHS for
approximately $9,500,000. The Trust concurrently leased the hospital to that
UHS subsidiary on a long-term basis. The fixed term of the leases ranges from
10-15 years with up to six additional five-year renewal options. In 1989, two
of these facilities consolidated their operations. The leases all provide for
minimum rents and additional rents are payable if facility revenues increase.
Additional rent is equal to 5% of the increase in facility revenues over a
base period until the facility lease rate grows to 13.5% of the Trust's
original shareholders' equity. Thereafter, additional rent is equal to 1% of
the increase in facility revenues. The obligations under the leases are
guaranteed by UHS.
During 1991, the Trust sold to UHS a 124-bed acute care hospital for its net
book value of approximately $5.7 million, which was higher than its appraised
value. The real property of this hospital was previously leased to UHS. Also
during 1991, the Trust acquired from UHS, for approximately $4.1 million,
newly constructed patient buildings on the campus of one of the behavioral
health facilities already owned by the Trust.
In 1992, one of the Subsidiaries of UHS ceased operations at the facility
leased by it from the Trust and, in 1993, UHS purchased the real property of
that facility from the Trust for approximately $3.2 million, the original
purchase price of the facility, which was higher than its appraised value, and
resulted in a $371,000 gain, which was included in the Trust's 1993 first
quarter results. Also during the fourth quarter of 1993, UHS, the former
lessee and operator of Belmont Community Hospital, sold the operations of the
facility to Transitional Hospitals Corporation ("THC"), an unaffiliated third
party. Concurrently, the Trust purchased certain related real property from
UHS for $1 million in cash and a note payable with a carrying value of $1.4
million (including accrued interest) at December 31, 2000. The note payable
has a face value of $1 million and is due on December 31, 2001. The amount of
interest payable on this note is contingent upon the financial performance of
this leased facility and its estimated face value at the end of the initial
lease term. The Trust has estimated the total amount payable under the terms
of this note and has discounted the payments to their net present value using
a 6% rate. In connection with this transaction, UHS's lease with the Trust was
terminated, and the Trust entered into an eight year lease agreement with THC
for the real property of the Belmont Community Hospital facility.
11
During the third quarter of 1995, UHS purchased the assets of Westlake
Medical Center, ("Westlake") a 126-bed hospital of which the majority of real
estate assets were owned by the Trust and leased to UHS. In exchange for the
real estate assets of Westlake and the termination of the lease, the Trust
received substitution properties valued at approximately $19 million (the
Trust's original purchase price of Westlake) consisting of additional real
estate assets which were owned by UHS but related to three acute care
facilities, of which the Trust owns the real estate and which are operated by
UHS (McAllen Medical Center, Inland Valley Regional Medical Center and
Wellington Regional Medical Center). These additional real estate assets
represent major additions and expansions made to these facilities by UHS since
the purchase of the facilities by the Trust from UHS in 1986. The Trust also
purchased from UHS, additional real estate assets related to McAllen Medical
Center for approximately $1.9 million in cash. Total annual base rental
payments from UHS to the Trust on the substituted properties will be $2.4
million which equals the total base and bonus rental earned by the Trust on
the Westlake facility during 1994 ($2.1 million base and $300,000 bonus).
Total annual base rental payments on the additional real estate assets
purchased related to McAllen Medical Center will be approximately $200,000.
Bonus rental on the substituted and purchased real estate assets will be equal
to 1% of the growth in revenues, in excess of base year amounts, generated by
these additional assets. The guarantee by UHS under the existing leases, as
amended to include the additional property, will continue.
During the third quarter of 1998, wholly-owned subsidiaries of UHS exercised
five-year renewal options on four hospitals owned by the Trust which were
scheduled to expire in 1999 through 2001 (Virtue Street Pavilion, The
Bridgeway, Inland Valley Regional Medical Center and Wellington Regional
Medical Center). The leases on these facilities were renewed at the same lease
rates and terms as the initial leases and these renewals remove the majority
of the previously disclosed uncertainty regarding the lease renewals with
subsidiaries of UHS. As part of the renewal agreement, the Trust also agreed
to grant additional fixed rate renewal options to a wholly-owned subsidiary of
UHS commencing in 2022 on the real property of McAllen Medical Center.
During 1999, the Trust paid $5.0 million to acquire a 98% interest in a
limited liability company that owns the Summerlin Hospital Medical Office
Building, which was constructed in 1997 and is connected to the Summerlin
Hospital Medical Center in Las Vegas, Nevada. Summerlin Hospital Medical
Center is owned by a limited liability company in which UHS holds a 72%
ownership interest. Summerlin Hospital Medical Office Building was owned by
this same limited liability company prior to the sale to the limited liability
company in which the Trust holds a 98% ownership interest. Also during 1999,
the Trust acquired the Orthopedic Specialists of Nevada Building in Las Vegas,
Nevada for $1.6 million. The ground lease on this medical office building is
based upon an agreement between Valley Health Systems, LLC (a UHS subsidiary)
and the Trust. In addition, the Trust purchased from UHS, additional real
estate assets related to Chalmette Medical Center for approximately $3.2
million in cash.
During the third quarter of 1999, the Trust recorded a provision for
investment loss of $2.6 million on Meridell Achievement Center, Inc., a
behavioral health services facility operated by, and leased to, a wholly-owned
subsidiary of UHS, pursuant to the terms of a lease that expired in December,
2000. In measuring the provision for investment loss during the third quarter
of 1999, the Trust estimated fair value by discounting (using the Trust's
internal hurdle rate) expected future cash flows, consisting of estimated
future rental payments and residual value. During the second quarter of 2000,
the wholly-owned subsidiary of UHS exercised its option pursuant to the lease
to purchase the leased property upon the December 31, 2000 expiration of the
initial lease. Pursuant to the terms of the lease agreement, three appraisal
were obtained to determine the fair market value of the property and
accordingly, the sale price was determined to be $5,450,00. This sale was
completed in December, 2000 resulting in a gain of approximately $1.9 million
which was included in the Trust's 2000 results of operations.
12
Also during 2000, the Trust invested $2.0 million to acquire a 98% interest
in a LLC that purchased the Summerlin Hospital Medical Office Building II
which is connected to the Summerlin Hospital Medical Center in Las Vegas,
Nevada. This medical office building was purchased from a LLC in which UHS
holds a 72% ownership interest. The purchase price paid for the property to
the UHS majority-owned LLC was $10.5 million. The Trust made a cash investment
of $2.0 million, and the LLC, which is majority-owned by the Trust, obtained a
$9.8 million third-party, non-recourse mortgage to fund the balance of the
purchase price and finance tenant improvements.
Pursuant to the terms of the leases with UHS, the lessees have rights of
first refusal to: (i) purchase the respective leased facilities during and for
180 days after the lease terms expire at the same price, terms and conditions
of any third party offer, or; (ii) renew the lease on the respective leased
facility at the end of, and for 180 days after, the lease term on the same
terms and conditions as to any third party offer. The leases also grant the
lessees options, exercisable on at least six months notice, to purchase the
respective leased facilities at the end of the lease term or any renewal term
at the facility's then fair market value. The terms of the leases also provide
that in the event UHS discontinues operations at the leased facility for more
than one year, or elects to terminate its lease prior to the expiration of its
term for prudent business reasons, UHS is obligated to offer a substitution
property. If the Trust does not accept the substitution property offered, UHS
is obligated to purchase the leased facility back from the Trust at a price
equal to the greater of its then fair market value or the original purchase
price paid by the Trust.
RELATIONSHIP WITH INDEPENDENT ACCOUNTANTS
Arthur Andersen LLP has been retained by the Board of Trustees, on the
recommendation of the Audit Committee, to perform all accounting and audit
services during the 2000 fiscal year. It is anticipated that representatives
of Arthur Andersen LLP will be present at the Annual Meeting and will have an
opportunity to make a statement, if they desire to do so, and to respond to
any appropriate inquiries of the Shareholders or their representatives.
During 2000, the Trust retained Arthur Andersen LLP, to provide services in
the following categories and amounts:
Audit fees $46,000
All other fees 46,000
-------
$92,000
The Audit Committee has considered whether the provision of non-audit
services by the Trust's principal auditor is compatible with maintaining
auditor independence.
EXPENSES FOR PROXY SOLICITATION
The principal solicitation of Proxies is being made by mail; however,
certain officers and employees of the Trust and of the Advisor, or its
affiliates, none of whom will receive additional compensation therefor, may
solicit Proxies by telegram, telephone or other personal contact. The Trust
will bear the cost of the solicitation of the Proxies, including postage,
printing and handling and will reimburse the reasonable expenses of brokerage
firms and others for forwarding material to beneficial owners of Shares.
13
DEADLINE FOR SUBMISSION OF SHAREHOLDER PROPOSALS FOR
NEXT YEAR'S ANNUAL MEETING
Any proposal that a Shareholder wishes to present for consideration at the
2002 Annual Meeting must be received by the Trust no later than December 31,
2001. This date provides sufficient time for inclusion of the proposal in the
2001 proxy materials.
OTHER BUSINESS TO BE TRANSACTED
As of the date of this Proxy Statement, the Board of Trustees knows of no
other business to be presented for action at the Annual Meeting. As for any
other business that may properly come before the Annual Meeting, the Proxies
confer discretionary authority in the persons named therein. Those persons
will vote or act in accordance with their best judgment with respect thereto.
YOU ARE URGED TO VOTE, SIGN, DATE AND RETURN THE ACCOMPANYING PROXY IN THE
ENCLOSED POSTAGE-PAID ENVELOPE AT YOUR EARLIEST CONVENIENCE, WHETHER OR NOT
YOU CURRENTLY PLAN TO ATTEND THE ANNUAL MEETING IN PERSON.
BY ORDER OF THE BOARD OF TRUSTEES
/s/ Kirk E. Gorman
KIRK E. GORMAN
Secretary
King of Prussia, Pennsylvania
April 27, 2001
A COPY OF THE TRUST'S ANNUAL REPORT ON FORM 10-K WILL BE SENT WITHOUT CHARGE
TO ANY SHAREHOLDER REQUESTING IT IN WRITING FROM: INVESTOR RELATIONS, UNIVER-
SAL HEALTH REALTY INCOME TRUST, UNIVERSAL CORPORATE CENTER, 367 SOUTH GULPH
ROAD, P.O. BOX 61558, KING OF PRUSSIA, PENNSYLVANIA 19406-0958.
14
EXHIBIT A
AUDIT COMMITTEE CHARTER
ORGANIZATION
There shall be a committee of the Board of Trustees to be known as the audit
committee. The audit committee shall be composed of Trustees who are
independent of the management of the corporation and are free of any
relationship that, in the opinion of the Board of Trustees would interfere
with their exercise of independent judgment as a committee member.
STATEMENT OF POLICY
The audit committee shall provide assistance to the Trustees in fulfilling
their responsibility to the shareholders, potential shareholders, and
investment community relating to corporate accounting, reporting practices of
the corporation, and the quality and integrity of the financial reports of the
corporation. in so doing, it is the responsibility of the audit committee to
maintain free and open means of communication between the Trustees, the
independent auditors, and the financial management of the corporation.
RESPONSIBILITIES
In carrying out its responsibilities, the audit committee believes its
policies and procedures should remain flexible, in order to best react to
changing conditions and to ensure to the Trustees and shareholders that the
accounting and reporting practices of the Trust are in accordance with all
requirements and are of the highest quality.
In carrying out these responsibilities, the audit committee will:
. Review and recommend to the Trustees the independent auditors to be
selected to audit the financial statements of the Trust and its
divisions and subsidiaries.
. Meet with the independent auditors and financial management of the Trust
to review the scope of the proposed audit for the current year and the
audit procedures to be utilized, and at the conclusion thereof review
such audit, including any comments or recommendations of the independent
auditors.
. Review with the independent auditors, and financial and accounting
personnel, the adequacy and effectiveness of the accounting and
financial controls of the Trust, and elicit any recommendations for the
improvement of such internal control procedures or particular areas
where new or more detailed controls or procedures are desirable.
Particular emphasis should be given to the adequacy of such internal
controls to expose any payments, transactions, or procedures that might
be deemed illegal or otherwise improper.
. Review the procedures established by the Trust that monitor the
compliance by the Trust with its loan and indenture covenants and
restrictions.
. Review the financial statements contained in the annual report to
shareholders with management and the independent auditors to determine
that the independent auditors are satisfied with the disclosure and
content of the financial statements to be presented to the shareholders.
Any changes in accounting principles should be reviewed.
A-1
. Provide sufficient opportunity for independent auditors to meet with the
members of the audit committee without members of management present.
Among the items to be discussed in these meetings are the independent
auditors' evaluation of the Trust's financial, accounting, and auditing
personnel, and the cooperation that the independent auditors received
during the course of the audit.
. Review accounting and financial human resources and succession planning
within the Trust.
. Submit the minutes of all meetings of the audit committee to, or discuss
the matters discussed at each committee meeting with, the Board of
Trustees.
. Investigate any matter brought to its attention within the scope of its
duties, with the power to retain outside counsel for this purpose if, in
its judgment, that is appropriate.
A-2
PROXY
UNIVERSAL HEALTH REALTY INCOME TRUST
This Proxy is Solicited By The Board of Trustees For The Annual Meeting of
Shareholders To Be Held on June 1, 2001
Alan B. Miller and Kirk E. Gorman, and each of them, as the true and lawful
attorneys, agents and proxies of the undersigned, with full power of
substitution, are hereby authorized to represent and to vote, as designated on
the reverse side, all shares of Universal Health Realty Income Trust held of
record by the undersigned on April 20, 2001 at the Annual Meeting of
Shareholders to be held at 10:00 a.m., on Friday, June 1, 2001 at Universal
Corporate Center, 367 South Gulph Road, King of Prussia, Pennsylvania and at any
adjournment thereof. Any and all proxies heretofore given are hereby revoked.
(This proxy is continued on reverse side)
SEE REVERSE SEE REVERSE
SIDE PLEASE SIGN ON REVERSE SIDE AND RETURN PROMPTLY SIDE
Please mark
X votes as in
this example
WHEN PROPERLY EXECUTED, THIS PROXY WILL BE VOTED AS DESIGNATED. IF NO CHOICE IS
SPECIFIED, THE PROXY WILL BE VOTED "FOR" ELECTION OF THE NOMINEES FOR TRUSTEES.
1. Election of Trustees. Discretionary authority is hereby granted with respect
Nominees: (01) Kirk E. Gorman (02) Miles L. Berger to such other matters as may properly come before the
meeting.
FOR WITHHELD
BOTH [ ] [ ] FROM BOTH The undersigned acknowledges receipt of the Notice of
NOMINEES NOMINEES Annual Meeting of Shareholders and the Proxy Statement
furnished herewith.
[ ]______________________________________________________
For except vote withheld from the following nominee(s). MARK HERE IF YOU PLAN TO ATTEND THE MEETING. [ ]
MARK HERE FOR ADDRESS CHANGE AND NOTE AT LEFT. [ ]
NOTE: Please sign exactly as name appears hereon. Each joint
owner shall sign. Executors, administrators, trustees, etc.
should given full title.
Signature:____________________________________ Date:____________ Signature:____________________________________ Date:____________