0001514128-15-000010.txt : 20150219 0001514128-15-000010.hdr.sgml : 20150219 20150218170116 ACCESSION NUMBER: 0001514128-15-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150213 FILED AS OF DATE: 20150218 DATE AS OF CHANGE: 20150218 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35149 FILM NUMBER: 15628778 MAIL ADDRESS: STREET 1: C/O UNIVERSAL AMERICAN FINANCIAL CORP STREET 2: SIX INTERNATIONAL DRIVE SUITE 190 CITY: RYE BROOK STATE: NY ZIP: 10573 4 1 f4forrba.xml PRIMARY DOCUMENT X0306 4 2015-02-13 0 0001514128 UNIVERSAL AMERICAN CORP. UAM 0001076341 BARASCH RICHARD A C/O UNIVERSAL AMERICAN CORP. 44 SOUTH BROADWAY WHITE PLAINS NY 10601 1 1 0 0 Chairman & CEO Common Stock 2015-02-13 4 A 0 72053. 0 A 2330782. D Common Stock 2015-02-13 4 A 0 72053. 0 A 2402835. D Common Stock 28180. I By Son (Benjamin) Common Stock 392097. I By Wife Common Stock 23080. I By Daughter (Natalie) Common Stock 30124. I By Daughter (Emily) Common Stock 65835. I Tara Acquisition LLC Common Stock 67744. I Norman Barasch Trust #1 Common Stock 220768. I Barasch Family Trust #1 Stock Options (Right to Buy) 9.16 2015-02-13 4 A 0 61568. 0 A 2020-02-13 Common Stock 61568. 61568. D Stock Options (Right to Buy) 9.16 2015-02-13 4 A 0 61568. 0 A 2020-02-13 Common Stock 61568. 61568. D Represents grant of Restricted Stock which vests in four equal annual installments beginning Feb 13, 2016 Represents common stock including 328,678 shares of unvested Restricted Stock. Represents grant of Performance Shares which vest 25% per year over four years subject to the Company having met a specified target of stock price appreciation. Represents common stock including 400,731 shares of unvested Restricted Stock. Represents grant of Stock Options which vests in four equal annual installments beginning Feb 13, 2016. Represents grant of Performance Options which vest 25% per year over four years subject to the Company having met a specified target of stock price appreciation. /s/ Tony L. Wolk, (POA) 2015-02-18