0001514128-15-000041.txt : 20151117 0001514128-15-000041.hdr.sgml : 20151117 20151117144615 ACCESSION NUMBER: 0001514128-15-000041 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: Page Erin CENTRAL INDEX KEY: 0001571359 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35149 FILM NUMBER: 151237964 MAIL ADDRESS: STREET 1: UNIVERSAL AMERICAN CORP. STREET 2: 44 SOUTH BROADWAY, SUITE 1200 CITY: WHITE PLAINS STATE: NY ZIP: 10601 4 1 f4forepa.xml PRIMARY DOCUMENT X0306 4 2015-11-13 0 0001514128 UNIVERSAL AMERICAN CORP. UAM 0001571359 Page Erin UNIVERSAL AMERICAN CORP. 44 SOUTH BROADWAY, 12TH FLOOR WHITE PLAINS NY 10601 0 1 0 0 President, MA / ACO Common Stock 2015-11-13 4 A 0 143267. 0 A 238137. 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 201,122 shares of unvested restricted stock. /s/ Tony L. Wolk (POA) 2015-11-17