0001179110-11-007304.txt : 20110504 0001179110-11-007304.hdr.sgml : 20110504 20110504162753 ACCESSION NUMBER: 0001179110-11-007304 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20110429 FILED AS OF DATE: 20110504 DATE AS OF CHANGE: 20110504 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ISRAEL JASON CENTRAL INDEX KEY: 0001199003 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35149 FILM NUMBER: 11810706 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 0001199003 ISRAEL JASON 6 INTERNATIONAL DRIVE RYE BROOK NY 10573 0 1 0 0 President of Subsidiary Common Stock 96200 D Common Stock 2234 I By 401(k) Plan 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 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 EX-24.POA 2 ex24israel.txt POA ISRAEL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, that the undersigned, Jason Israel hereby appoints TONY L. WOLK to be the undersigned's true and lawful attorney, and in his name, place and stead to execute, acknowledge, deliver and file Forms 3, 4 and 5 (including amendments thereto) with respect to securities of Universal American Corp. (the "COMPANY"), required to be filed with the Securities and Exchange Commission, national securities exchanges and the Company pursuant to Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules and regulations thereunder, granting to Tony L. Wolk full power and authority to perform all acts necessary to the completion of such purposes. The undersigned agrees that the attorney-in-fact herein, Tony L. Wolk, may rely entirely on information furnished orally or in writing by the undersigned to such attorney-in-fact. The undersigned also agrees to indemnify and hold harmless the Company and the attorney-in-fact against any losses, claims, damages or liabilities (or actions in these respects) that arise out of or are based upon any untrue statements or omission of necessary facts in the information provided by the undersigned to the attorney-in-fact for purposes of executing, acknowledging, delivering or filing Forms 3, 4 or 5 (including amendments thereto) and agrees to reimburse the Company and the attorney-in-fact herein for any legal or other expenses reasonably incurred in connection with investigating or defending against any such loss, claim, damage, liability or action. The validity of this Power of Attorney shall not be affected in any manner by reason of the execution, at any time, of other powers of attorney by the undersigned in favor of persons other than those named herein. The undersigned agrees and represents to those dealing with its attorney-in-fact herein, Tony L. Wolk, that this Power of Attorney is for indefinite duration and may be voluntarily revoked only by written notice to such attorney-in-fact. WITNESS THE EXECUTED HEREOF this 4th day of May 2011. By: Name: Jason Israel