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