0001140361-16-063390.txt : 20160504
0001140361-16-063390.hdr.sgml : 20160504
20160504165055
ACCESSION NUMBER: 0001140361-16-063390
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160502
FILED AS OF DATE: 20160504
DATE AS OF CHANGE: 20160504
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: 161620161
MAIL ADDRESS:
STREET 1: 1067 FIFTH AVENUE, #6
CITY: NEW YORK
STATE: NY
ZIP: 10128
4
1
doc1.xml
FORM 4
X0306
4
2016-05-02
0
0001514128
UNIVERSAL AMERICAN CORP.
UAM
0001380508
Gormley Mark K
C/O LEE EQUITY PARTNERS, LLC
650 MADISON AVENUE, 21ST FLOOR
NEW YORK
NY
10022
1
0
0
0
Common Stock
2016-05-02
4
M
0
33000
5.98
A
94019
I
See Footnote
Common Stock
2016-05-02
4
F
0
27220
7.25
D
66799
I
See Footnote
Common Stock
68701
D
Stock Option (Right to Buy)
5.98
2016-05-02
4
M
0
33000
5.98
D
2016-05-02
Common Stock
33000
0
I
See Footnote
Directly owned by Lee Equity Partners, LLC. Lee Equity Partners, LLC is the investment manager of Lee Equity Partners Realization Fund, L.P. and Lee Equity Strategic Partners Realization Fund, 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 Securities Exchange Act of 1934, as amended, or for any other purpose.
Shares surrendered to issuer in payment of exercise price in connection with stock option exercise.
Options are fully vested.
/s/ Mark K. Gormley
2016-05-04