0001514128-15-000032.txt : 20150608
0001514128-15-000032.hdr.sgml : 20150608
20150608173821
ACCESSION NUMBER: 0001514128-15-000032
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20150601
FILED AS OF DATE: 20150608
DATE AS OF CHANGE: 20150608
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: Thackery Adam C
CENTRAL INDEX KEY: 0001643654
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35149
FILM NUMBER: 15919297
MAIL ADDRESS:
STREET 1: 44 SOUTH BROADWAY
STREET 2: 12TH FLOOR
CITY: WHITE PLAINS
STATE: NY
ZIP: 10601
3
1
f3forath.xml
PRIMARY DOCUMENT
X0206
3
2015-06-01
0
0001514128
UNIVERSAL AMERICAN CORP.
UAM
0001643654
Thackery Adam C
44 SOUTH BROADWAY
SUITE 1200
WHITE PLAINS
NY
10601
0
1
0
0
Chief Financial Officer
Common Stock
61790.
D
Stock Option (Right to Buy)
6.73
2016-05-02
Common Stock
35000.
D
Stock Option (Right to Buy)
8.62
2017-02-09
Common Stock
32500.
D
Stock Option (Right to Buy)
6.93
2018-03-04
Common Stock
27625.
D
Stock Option (Right to Buy)
6.80
2019-02-06
Common Stock
26540.
D
Stock Options (Right to Buy)
9.16
2020-02-13
Common Stock
5224.
D
Stock Options (Right to Buy)
9.16
2020-02-13
Common Stock
5224.
D
Represents common stock including 27,568 shares of unvested restricted stock, including 6,114 Performance Shares which vest subject to the Company having met a specified target of stock price appreciation.
Represents grant of stock options which vests in four equal annual installments beginning May 2, 2012.
Represents grant of stock options which vests in four equal annual installments beginning February 9, 2013.
Represents grant of stock options which vests in four equal annual installments beginning March 4, 2014.
Represents grant of stock options which vests in four equal annual installments beginning February 6, 2015.
Represents grant of Stock Options which vests in four equal annual installments beginning February 13, 2016.
Represents grant of Performance Options which vest 25% per year over four years subject to the Company having met a specified target of stock price appreciation.
Note: Also see attached Exhibit EX-24 Attachment A.
/s/ Tony L. Wolk, (POA)
2015-06-08
EX-24
2
poa-awolk.txt
ATTACHMENT A
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that the undersigned,
Adam C. Thackery hereby appoints TONY L. WOLK to be the
undersigned's true and lawful attorney, and in his name, place
and stead to execute, acknowledge, deliver and file Forms 3, 4
and 5 (including amendments thereto) with respect to securities
of Universal American Corp. (the "Company"), required to be filed
with the Securities and Exchange Commission, national securities
exchanges and the Company pursuant to Section 16(a) of the
Securities Exchange Act of 1934, as amended, and the rules and
regulations thereunder, granting to Tony L. Wolk full power and
authority to perform all acts necessary to the completion of such
purposes.
The undersigned agrees that the attorney-in-fact herein,
Tony L. Wolk, may rely entirely on information furnished orally
or in writing by the undersigned to such attorney-in-fact. The
undersigned also agrees to indemnify and hold harmless the
Company and the attorney-in-fact against any losses, claims,
damages or liabilities (or actions in these respects) that arise
out of or are based upon any untrue statements or omission of
necessary facts in the information provided by the undersigned to
the attorney-in-fact for purposes of executing, acknowledging,
delivering or filing Forms 3, 4 or 5 (including amendments
thereto) and agrees to reimburse the Company and the attorney-in-
fact herein for any legal or other expenses reasonably incurred
in connection with investigating or defending against any such
loss, claim, damage, liability or action.
The validity of this Power of Attorney shall not be
affected in any manner by reason of the execution, at any time,
of other powers of attorney by the undersigned in favor of
persons other than those named herein.
The undersigned agrees and represents to those dealing
with its attorney-in-fact herein, Tony L. Wolk, that this Power
of Attorney is for indefinite duration and may be voluntarily
revoked only by written notice to such attorney-in-fact.
WITNESS THE EXECUTED HEREOF this 27th day of May 2015.
By:/s/Adam C. Thackery
Name: Adam C. Thackery