0001140361-15-042105.txt : 20151118 0001140361-15-042105.hdr.sgml : 20151118 20151118062216 ACCESSION NUMBER: 0001140361-15-042105 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151113 FILED AS OF DATE: 20151118 DATE AS OF CHANGE: 20151118 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: Gormley Mark K CENTRAL INDEX KEY: 0001380508 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35149 FILM NUMBER: 151239585 MAIL ADDRESS: STREET 1: 1067 FIFTH AVENUE, #6 CITY: NEW YORK STATE: NY ZIP: 10128 4 1 doc1.xml FORM 4 X0306 4 2015-11-13 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 Common Stock 2015-11-13 4 A 0 5731 0 A 55288 I See Footnote Common Stock 2015-11-13 4 A 0 5731 0 A 61019 I See Footnote Common Stock 68701 D Represents grant of Restricted Stock which vests in four equal installments beginning November 13, 2016. 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. Represents grant of Performance shares which vest 25% per year over four years subject to the Company having met a specified target of stock price appreciation. /s/ Mark K. Gormley 2015-11-13