-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, SfJw4Db3UX8iVkv6/GkNIHJL/GK2mn5nJ1DWjJWiZTnFKaRqoOn/hAk9lEE5bToc IJ95HgOyAQ6inDZRsYjGVQ== 0001144204-08-033705.txt : 20080604 0001144204-08-033705.hdr.sgml : 20080604 20080604182950 ACCESSION NUMBER: 0001144204-08-033705 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080603 FILED AS OF DATE: 20080604 DATE AS OF CHANGE: 20080604 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UCI MEDICAL AFFILIATES INC CENTRAL INDEX KEY: 0000737561 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 592225346 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 1901 MAIN ST MAIL CODE 1105 STREET 2: STE 1200 CITY: COLUMBIA STATE: SC ZIP: 29201 BUSINESS PHONE: 8032523661 MAIL ADDRESS: STREET 1: 1901 MAIN ST MAIL CODE 1105 STREET 2: SUITE 1200 CITY: COLUMBIA STATE: SC ZIP: 29201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gramm Jefferson CENTRAL INDEX KEY: 0001427290 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13265 FILM NUMBER: 08881551 BUSINESS ADDRESS: BUSINESS PHONE: 212-232-4583 MAIL ADDRESS: STREET 1: 26 BROADWAY #1607 CITY: NEW YORK STATE: NY ZIP: 10004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bylinsky Gregory CENTRAL INDEX KEY: 0001427289 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13265 FILM NUMBER: 08881552 BUSINESS ADDRESS: BUSINESS PHONE: 2122324582 MAIL ADDRESS: STREET 1: BANDERA PARTNERS LLC STREET 2: 26 BROADWAY STE 1607 CITY: NEW YORK STATE: NY ZIP: 10004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bandera Partners LLC CENTRAL INDEX KEY: 0001399386 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13265 FILM NUMBER: 08881553 BUSINESS ADDRESS: STREET 1: 26 BROADWAY, SUITE 1607 CITY: NEW YORK STATE: NY ZIP: 10004 BUSINESS PHONE: 2122324582 MAIL ADDRESS: STREET 1: 26 BROADWAY, SUITE 1607 CITY: NEW YORK STATE: NY ZIP: 10004 4 1 v116620_ex.xml X0202 4 2008-06-03 0 0000737561 UCI MEDICAL AFFILIATES INC UCIA 0001399386 Bandera Partners LLC 26 BROADWAY, SUITE 1607 NEW YORK NY 10004 0 0 1 0 0001427289 Bylinsky Gregory 26 BROADWAY, SUITE 1607 NEW YORK NY 10004 0 0 1 0 0001427290 Gramm Jefferson 26 BROADWAY, SUITE 1607 NEW YORK NY 10004 0 0 1 0 Common Stock 2008-06-03 4 P 0 4300 3.25 A 1224598 I See footnote The shares of Common Stock reported herein as indirectly beneficially owned by Bandera Partners LLC, Gregory Bylinsky and Jefferson Gramm (the "Master Fund Shares") are directly owned by Bandera Master Fund L.P., a Cayman Islands exempted limited partnership ("Bandera Master Fund"). Bandera Partners LLC is the investment manager of Bandera Master Fund and may be deemed to have beneficial ownership of the Master Fund Shares by virtue of the sole and exclusive authority granted to Bandera Partners LLC by Bandera Master Fund to vote and dispose of the Master Fund Shares. Mr. Bylinsky and Mr. Gramm may be deemed to have beneficial ownership of the Master Fund Shares in their capacities as Managing Partners, Managing Directors and Portfolio Managers of Bandera Partners LLC. (continued in footnote 2) Indirect beneficial ownership of the Master Fund Shares has not been allocated to the Reporting Persons on a proportional basis. Each of Bandera Partners LLC, Mr. Bylinsky and Mr. Gramm disclaims beneficial ownership of the Master Fund Shares except to the extent of its or his pecuniary interest therein pursuant to Rule 16a-1(a)(2). /s/ Gregory Bylinsky - Managing Director, On behalf of Bandera Partners LLC 2008-06-04 /s/ Gregory Bylinsky 2008-06-04 /s/ Jefferson Gramm 2008-06-04 -----END PRIVACY-ENHANCED MESSAGE-----