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