0001514128-15-000017.txt : 20150303 0001514128-15-000017.hdr.sgml : 20150303 20150303162700 ACCESSION NUMBER: 0001514128-15-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150301 FILED AS OF DATE: 20150303 DATE AS OF CHANGE: 20150303 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: 15669467 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 2015-03-01 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 2015-03-01 4 J 0 62434. 0 D 2340401. 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 Represents forfeiture of restricted stock. Represents common stock including 338,297 shares of unvested Restricted Stock. /s/ Tony L. Wolk, (POA) 2015-03-03