0001593968-16-001360.txt : 20161229 0001593968-16-001360.hdr.sgml : 20161229 20161229163226 ACCESSION NUMBER: 0001593968-16-001360 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161228 FILED AS OF DATE: 20161229 DATE AS OF CHANGE: 20161229 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: 162075480 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 primary_01.xml PRIMARY DOCUMENT X0306 4 2016-12-28 0001514128 UNIVERSAL AMERICAN CORP. UAM 0001226799 BLACK STEVEN H 44 SOUTH BROADWAY SUITE 1200 WHITE PLAINS NY 10601-4411 false true false false Chief Administration Officer Common Stock 2016-12-28 4 M false 12500 5.86 A 115845 D Common Stock 2016-12-28 4 F false 9202 10.01 D 106643 D Common Stock 2016-12-28 4 M false 18750 6.18 A 125393 D Common Stock 2016-12-28 4 F false 14184 10.01 D 111209 D Common Stock 2016-12-28 4 M false 12560 6.05 A 123769 D Common Stock 2016-12-28 4 F false 9398 10.01 D 114371 D Common Stock 2016-12-28 4 M false 1633 8.41 A 116004 D Common Stock 2016-12-28 4 F false 1467 10.01 D 114537 D Common Stock 2016-12-28 4 M false 12500 5.86 A 118530 I By Wife Common Stock 2016-12-28 4 F false 7318 10.01 D 111212 I By Wife Common Stock 2016-12-28 4 M false 18750 6.18 A 129962 I By Wife Common Stock 2016-12-28 4 F false 11576 10.01 D 118386 I By Wife Common Stock 2016-12-28 4 M false 12559 6.05 A 130945 I By Wife Common Stock 2016-12-28 4 F false 7591 10.01 D 123354 I By Wife Common Stock 2016-12-28 4 M false 1632 8.41 A 124986 I By Wife Common Stock 2016-12-28 4 F false 1372 10.01 D 123614 I By Wife Stock Option (Right to Buy) 6.18 2016-12-28 4 M false 18750 6.18 D 2018-03-04 Common Stock 18750 6250 D Stock Option (Right to Buy) 5.86 2016-12-28 4 M false 12500 5.86 D 2017-10-16 Common Stock 12500 0 D Stock Option (Right to Buy) 6.05 2016-12-28 4 M false 12560 6.05 D 2019-02-06 Common Stock 12560 12558 D Stock Option (Right to Buy) 8.41 2016-12-28 4 M false 1633 8.41 D 2020-02-13 Common Stock 1633 4897 D Stock Option (Right to Buy) 6.18 2016-12-28 4 M false 18750 6.18 D 2018-03-04 Common Stock 18750 6250 I By Wife Stock Option (Right to Buy) 5.86 2016-12-28 4 M false 12500 5.86 D 2017-10-16 Common Stock 12500 0 I By Wife Stock Option (Right to Buy) 6.05 2016-12-28 4 M false 12559 6.05 D 2019-02-06 Common Stock 12559 12559 I By Wife Stock Option (Right to Buy) 8.41 2016-12-28 4 M false 1632 8.41 D 2020-02-13 Common Stock 1632 4898 I By Wife Represents common stock including 83,615 shares of unvested restricted stock. Shares surrendered to issuer in payment of exercise price and tax liability in connection with stock option exercise. Represents common stock including 83,613 shares of unvested restricted stock. Represents grant of stock options which vests in four equal installments beginning March 4, 2014. Represents grant of stock options which vests in four equal installments beginning October 16, 2013. Represents grant of stock options which vests in four equal installments beginning February 6, 2015. Represents grant of stock options which vests in four equal installments beginning February 13, 2016. /s/ Tony L. Wolk, (POA) 2016-12-29