0001179110-11-007290.txt : 20110504 0001179110-11-007290.hdr.sgml : 20110504 20110504162605 ACCESSION NUMBER: 0001179110-11-007290 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110429 FILED AS OF DATE: 20110504 DATE AS OF CHANGE: 20110504 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carpenter Theodore M Jr CENTRAL INDEX KEY: 0001346520 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35149 FILM NUMBER: 11810617 MAIL ADDRESS: STREET 1: C/O UNIVERSAL AMERICAN FINANCIAL CORP. STREET 2: 6 INTERNATIONAL DRIVE CITY: RYE BROOK STATE: NY ZIP: 10573 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 0001346520 Carpenter Theodore M Jr UNIVERSAL AMERICAN CORP. 6 INTERNATIONAL DRIVE RYE BROOK NY 10573 0 1 0 0 President of Subsidiary Common Stock 290005 D Common Stock 2430 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