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