0001179110-11-007298.txt : 20110504
0001179110-11-007298.hdr.sgml : 20110504
20110504162456
ACCESSION NUMBER: 0001179110-11-007298
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: Etheridge Matthew
CENTRAL INDEX KEY: 0001413580
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35149
FILM NUMBER: 11810574
MAIL ADDRESS:
STREET 1: C/O PERRY CORP.
STREET 2: 767 FIFTH AVENUE, 19TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10153
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
0001413580
Etheridge Matthew
C/O UNIVERSAL AMERICAN CORP.
6 INTERNATIONAL DRIVE, SUITE 190
RYE BROOK
NY
10573
1
0
0
0
Common Stock
31959
D
Series A Preferred Stock
108410
D
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 Series A Preferred Stock has a liquidation preference of $25 per share, pays cash dividends at 8.5% per annum and is mandatorily redeemable on the six year anniversary of the issue date (April 29, 2011).
/s/ Tony L. Wolk (POA)
2011-05-04