0001140361-11-025046.txt : 20110504 0001140361-11-025046.hdr.sgml : 20110504 20110504204644 ACCESSION NUMBER: 0001140361-11-025046 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110502 FILED AS OF DATE: 20110504 DATE AS OF CHANGE: 20110504 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Capital Z Management, LLC CENTRAL INDEX KEY: 0001419941 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35149 FILM NUMBER: 11812181 BUSINESS ADDRESS: STREET 1: 230 PARK AVENUE SOUTH STREET 2: 11TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10003 BUSINESS PHONE: 212 965-2328 MAIL ADDRESS: STREET 1: 230 PARK AVENUE SOUTH STREET 2: 11TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10003 4 1 doc1.xml FORM 4 X0303 4 2011-05-02 0 0001514128 UNIVERSAL AMERICAN CORP. UAM 0001419941 Capital Z Management, LLC 142 WEST 57TH STREET 3RD FLOOR NEW YORK NY 10003 0 0 1 0 Stock Option (Right to Buy) 9.33 2011-05-02 4 J 0 66000 A 2016-05-02 Common Stock 66000 66000 D Receipt of stock option award from the issuer for non-employee director service. This option is exercisable in four equal installments beginning on May 2, 2012, 2013, 2014, and 2015. Not applicable. /s/ Capital Z Management, LLC, by Craig Fisher as Authorized Signatory 2011-05-04