0001104659-15-079743.txt : 20151117 0001104659-15-079743.hdr.sgml : 20151117 20151117210232 ACCESSION NUMBER: 0001104659-15-079743 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150812 FILED AS OF DATE: 20151117 DATE AS OF CHANGE: 20151117 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: 44 SOUTH BROADWAY, 12TH FLOOR CITY: WHITE PLAINS STATE: NY ZIP: 10601 BUSINESS PHONE: 914-597-2900 MAIL ADDRESS: STREET 1: 44 SOUTH BROADWAY, 12TH FLOOR CITY: WHITE PLAINS STATE: NY ZIP: 10601 FORMER COMPANY: FORMER CONFORMED NAME: UNIVERSAL AMERICAN SPIN CORP. DATE OF NAME CHANGE: 20110228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLACK STEVEN H CENTRAL INDEX KEY: 0001226799 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35149 FILM NUMBER: 151239484 MAIL ADDRESS: STREET 1: C/O UNIVERSAL AMERICAN CORP. STREET 2: SUITE 1200, 44 SO. BROADWAY CITY: WHITE PLAINS STATE: NY ZIP: 10601 4 1 a4.xml 4 X0306 4 2015-08-12 0 0001514128 UNIVERSAL AMERICAN CORP. UAM 0001226799 BLACK STEVEN H C/O UNIVERSAL AMERICAN CORP, SUITE 1200, 44 SOUTH BROADWAY WHITE PLAINS NY 10601 0 1 0 0 Chief Administrative Officer Common Stock 2015-08-12 4 G 0 29675 0 D 57350 D Common Stock 2015-11-13 4 A 0 85960 0 A 143310 D Common Stock 2015-11-13 4 G 0 42980 0 D 100330 D Common Stock 2015-08-12 4 G 0 29675 0 A 29675 I By Wife Common Stock 2015-11-13 4 G 0 42980 0 A 72655 I By Wife Stock Option (Right to Buy) 6.18 2015-08-12 4 G 0 25000 0.00 D 2018-03-04 Common Stock 25000 25000 D Stock Option (Right to Buy) 6.18 2015-08-12 4 G 0 25000 0.00 A 2018-03-04 Common Stock 25000 25000 I By Wife Stock Option (Right to Buy) 5.86 2015-08-12 4 G 0 12500 0.00 D 2017-10-16 Common Stock 12500 12500 D Stock Option (Right to Buy) 5.86 2015-08-12 4 G 0 12500 0.00 A 2017-10-16 Common Stock 12500 12500 I By Wife Stock Option (Right to Buy) 6.05 2015-08-12 4 G 0 25118 0.00 D 2019-02-06 Common Stock 25118 25120 D Stock Option (Right to Buy) 6.05 2015-08-12 4 G 0 25118 0.00 A 2019-02-06 Common Stock 25118 25118 I By Wife Stock Option (Right to Buy) 8.41 2015-08-12 4 G 0 6530 0.00 D 2020-02-13 Common Stock 6530 6530 D Stock Option (Right to Buy) 8.41 2015-08-12 4 G 0 6530 0.00 A 2020-02-13 Common Stock 6530 6530 I By Wife Stock Option (Right to Buy) 8.41 2015-08-12 4 G 0 6528 0.00 D 2020-02-13 Common Stock 6528 6532 D Stock Option (Right to Buy) 8.41 2015-08-12 4 G 0 6528 0.00 A 2020-02-13 Common Stock 6528 6528 I By Wife Represents a gift of awards from the named officer to his spouse. The original vesting schedule applies. Represents common stock including 29,680 shares of unvested restricted stock. Represents grant of restricted stock which will vest on the six-month anniversary of a Change in Control (as defined in the 2011 Omnibus Equity Award Plan). Represents common stock including 114,702 shares of unvested restricted stock. Represents common stock including 71,722 shares of unvested restricted stock. Represents common stock including 29,675 shares of unvested restricted stock. Represents common stock including 71,718 shares of unvested restricted stock. /s/ Tony L. Wolk (POA) 2015-11-17