0000904454-16-001292.txt : 20160627 0000904454-16-001292.hdr.sgml : 20160627 20160627180352 ACCESSION NUMBER: 0000904454-16-001292 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160627 FILED AS OF DATE: 20160627 DATE AS OF CHANGE: 20160627 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: Scully Thomas CENTRAL INDEX KEY: 0001414384 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35149 FILM NUMBER: 161734321 MAIL ADDRESS: STREET 1: 320 PARK AVENUE, SUITE # 2500 CITY: NEW YORK STATE: NM ZIP: 10022 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2016-06-27 0001514128 UNIVERSAL AMERICAN CORP. UAM 0001414384 Scully Thomas C/O WELSH, CARSON, ANDERSON & STOWE 320 PARK AVENUE, SUITE 2500 NEW YORK NY 10022 1 0 0 0 Common Stock 2016-06-27 4 S 0 6999200 6.80 D 0 I By Welsh, Carson, Anderson & Stowe X, L.P. Common Stock 100000 D Share repurchase by the Issuer. The Reporting Person is a managing member of the sole general partner of Welsh, Carson, Anderson & Stowe X, L.P. Pursuant to Instruction 4(b)(iv) of Form 4 the Reporting Person has elected to report as indirectly beneficially owned by entire number of securities owned by such limited partnership, however he disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his pecunicary interest therein and/or that are not actually distributed to him. /s/David Mintz, Attorney-in-Fact 2016-06-27