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