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