0001179110-11-007287.txt : 20110504
0001179110-11-007287.hdr.sgml : 20110504
20110504160904
ACCESSION NUMBER: 0001179110-11-007287
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110429
FILED AS OF DATE: 20110504
DATE AS OF CHANGE: 20110504
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: UNIVERSAL AMERICAN CORP.
CENTRAL INDEX KEY: 0001514128
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 274683816
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: SIX INTERNATIONAL DRIVE, SUITE 190
CITY: RYE BROOK
STATE: NY
ZIP: 10573
BUSINESS PHONE: 914-934-5200
MAIL ADDRESS:
STREET 1: SIX INTERNATIONAL DRIVE, SUITE 190
CITY: RYE BROOK
STATE: NY
ZIP: 10573
FORMER COMPANY:
FORMER CONFORMED NAME: UNIVERSAL AMERICAN SPIN CORP.
DATE OF NAME CHANGE: 20110228
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BARASCH RICHARD A
CENTRAL INDEX KEY: 0001076341
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35149
FILM NUMBER: 11810371
MAIL ADDRESS:
STREET 1: C/O UNIVERSAL AMERICAN FINANCIAL CORP
STREET 2: SIX INTERNATIONAL DRIVE SUITE 190
CITY: RYE BROOK
STATE: NY
ZIP: 10573
3
1
edgar.xml
FORM 3 -
X0203
3
2011-04-29
0
0001514128
UNIVERSAL AMERICAN CORP.
UAM
0001076341
BARASCH RICHARD A
UNIVERSAL AMERICAN CORP.
6 INTERNATIONAL DRIVE
RYE BROOK
NY
10573
1
1
0
0
Chief Executive Officer
Common Stock
1870099
D
Common Stock
28180
I
Son (Benjamin)
Common Stock
424077
I
Wife
Common Stock
23080
I
Daughter (Natalie)
Common Stock
30124
I
Daughter (Emily)
Common Stock
24376
I
Tara Acquisition LLC
Common Stock
67744
I
Norman Barasch Trust #1
Common Stock
137849
I
Barasch Family Trust #1
Common Stock
28900
I
By 401(k) Plan
Series A Preferred Stock
55610
I
Tara Acquisition LLC
Issued pursuant to the merger, effective as of April 29, 2011, contemplated by the Agreement and Plan of Merger, dated December 30, 2010, by and between Universal American Corp. (subsequently renamed Caremark Ulysses Holding Corp.) CVS Caremark Corporation and Ulysses Merger Sub, L.L.C.
The Series A Preferred Stock has a liquidation preference of $25 per share, pays cash dividends at 8.5% per annum and is mandatorily redeemable on the six year anniversary of the issue date (April 29, 2011).
The information in this report is based on a 401(k) plan statement dated as of December 31, 2010.
/s/ Tony L. Wolk, (POA)
2011-05-04