0001514128-15-000040.txt : 20151117 0001514128-15-000040.hdr.sgml : 20151117 20151117144608 ACCESSION NUMBER: 0001514128-15-000040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151113 FILED AS OF DATE: 20151117 DATE AS OF CHANGE: 20151117 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35149 FILM NUMBER: 151237963 MAIL ADDRESS: STREET 1: 44 SOUTH BROADWAY STREET 2: 12TH FLOOR CITY: WHITE PLAINS STATE: NY ZIP: 10601 4 1 f4forath.xml PRIMARY DOCUMENT X0306 4 2015-11-13 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 2015-11-13 4 A 0 57307. 0 A 119097. D Represents grant of Restricted Stock which will vest on the six-month anniversary of a Change in Control (as defined in the 2011 Omnibus Equity Award Plan). Represents common stock including 84,875 shares of unvested Restricted Stock. /s/ Tony L. Wolk, (POA) 2015-11-17