0001179110-11-007288.txt : 20110504
0001179110-11-007288.hdr.sgml : 20110504
20110504161723
ACCESSION NUMBER: 0001179110-11-007288
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110429
FILED AS OF DATE: 20110504
DATE AS OF CHANGE: 20110504
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WAEGELEIN ROBERT A
CENTRAL INDEX KEY: 0001179663
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35149
FILM NUMBER: 11810456
MAIL ADDRESS:
STREET 1: SIX INTERNATIONAL DR
STREET 2: STE 190
CITY: RYE BROOK
STATE: NY
ZIP: 10573-1068
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
3
1
edgar.xml
FORM 3 -
X0203
3
2011-04-29
0
0001514128
UNIVERSAL AMERICAN CORP.
UAM
0001179663
WAEGELEIN ROBERT A
6 INTERNATIONAL DRIVE
RYE BROOK
NY
10573
0
1
0
0
Chief Financial Officer
Common Stock
652891
D
Common Stock
25680
I
By 401(k) Plan
Series A Preferred Stock
29210
D
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