0001140361-11-025040.txt : 20110504 0001140361-11-025040.hdr.sgml : 20110504 20110504194917 ACCESSION NUMBER: 0001140361-11-025040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110502 FILED AS OF DATE: 20110504 DATE AS OF CHANGE: 20110504 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gormley Mark K CENTRAL INDEX KEY: 0001380508 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35149 FILM NUMBER: 11812113 MAIL ADDRESS: STREET 1: 1067 FIFTH AVENUE, #6 CITY: NEW YORK STATE: NY ZIP: 10128 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 4 1 doc1.xml FORM 4 X0303 4 2011-05-02 0 0001514128 UNIVERSAL AMERICAN CORP. UAM 0001380508 Gormley Mark K C/O LEE EQUITY PARTNES, LLC 650 MADISON AVENUE, 21ST FLOOR NEW YORK NY 10022 1 0 0 0 Stock Option (Right to Buy) 9.33 2011-05-02 4 A 0 33000 0 A 2016-05-02 Common Stock 33000 33000 I See Footnote This option is exercisable in four equal installments beginning on May 2, 2012, 2013, 2014, and 2015. Directly owned by Lee Equity Partners, LLC. Lee Equity Partners, LLC is the investment manager of Lee Equity Partners Fund, L.P., Lee Equity Strategic Partners Fund, L.P. and Lee Equity Strategic Partners Fund (Offshore), L.P. (collectively, the "Funds"). Mr. Gormley is a member and equity owner of the general partner of the Funds. Mr. Gormley disclaims beneficial ownership of shares held by Lee Equity Partners, LLC and the Funds, except to the extent of his or its pecuniary interest therein, if any, and this report shall not be deemed an admission that Mr. Gormley is the beneficial owner of the shares for purposes of Section 16 of the Exchange Act or for any other purpose. /s/ Mark Gormley 2011-05-04