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