-----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, EXZotrcpx0pjNOuftt1oLLrlrSeg49JTV1zgvP7VlJwmGASkz40JNN3e5Y5rtVm1 umEZqNAb0oR+kczj3zXsaQ== 0001209191-04-033630.txt : 20040630 0001209191-04-033630.hdr.sgml : 20040630 20040630194034 ACCESSION NUMBER: 0001209191-04-033630 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040630 FILED AS OF DATE: 20040630 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SOROS PRIVATE EQUITY INVESTORS LP CENTRAL INDEX KEY: 0001253600 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32209 FILM NUMBER: 04892660 MAIL ADDRESS: STREET 1: C/O SOROS FUND MANAGEMENT LLC STREET 2: 888 SEVENTH AVE 31ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SPEP GENERAL PARTNER LLC CENTRAL INDEX KEY: 0001253602 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32209 FILM NUMBER: 04892662 MAIL ADDRESS: STREET 1: C/O SOROS FUND MANAGEMENT LLC STREET 2: 888 SEVENTH AVE 31ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SPEP GENERAL PARTNER LP CENTRAL INDEX KEY: 0001253606 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32209 FILM NUMBER: 04892659 MAIL ADDRESS: STREET 1: C/O SOROS FUND MANAGEMENT LLC STREET 2: 888 SEVENTH AVE 31ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: QIH MANAGEMENT LLC CENTRAL INDEX KEY: 0001237658 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32209 FILM NUMBER: 04892657 BUSINESS ADDRESS: STREET 1: C/O SOROS FUND MANAGEMENT LLC STREET 2: 888 SEVENTH AVENUE 31ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10106 BUSINESS PHONE: 2122626300 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: QIH MANAGEMENT INVESTOR LP CENTRAL INDEX KEY: 0001237660 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32209 FILM NUMBER: 04892663 BUSINESS ADDRESS: STREET 1: C/O SOROS FUND MANAGEMENT LLC STREET 2: 888 SEVENTH AVENUE 31ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10106 BUSINESS PHONE: 2122626300 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WELLCARE GROUP INC CENTRAL INDEX KEY: 0001279363 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 470937650 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6800 NORTH DALE MABRY HWY STREET 2: SUITE 268 CITY: TAMPA STATE: FL ZIP: 33614 BUSINESS PHONE: 8132906200 MAIL ADDRESS: STREET 1: 6800 NORTH DALE MABRY HWY STREET 2: SUITE 268 CITY: TAMPA STATE: FL ZIP: 33614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SOROS FUND MANAGEMENT LLC CENTRAL INDEX KEY: 0001029160 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32209 FILM NUMBER: 04892661 BUSINESS ADDRESS: STREET 1: 888 SEVENTH AVENUE 33RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10106 BUSINESS PHONE: 2128721054 MAIL ADDRESS: STREET 1: C/O AKIN, GUMP, STRAUSS,HAUER,FELD, STREET 2: 399 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WellCare Holdings, LLC CENTRAL INDEX KEY: 0001295979 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32209 FILM NUMBER: 04892656 BUSINESS ADDRESS: STREET 1: C/O WELLCARE HEALTH PLANS, INC. STREET 2: 6800 N. DALE MABRY HIGHWAY, SUITE 268 CITY: TAMPA STATE: FL ZIP: 33614 BUSINESS PHONE: 813-290-6200 MAIL ADDRESS: STREET 1: C/O WELLCARE HEALTH PLANS, INC. STREET 2: 6800 N. DALE MABRY HIGHWAY, SUITE 268 CITY: TAMPA STATE: FL ZIP: 33614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SOROS GEORGE CENTRAL INDEX KEY: 0000900203 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32209 FILM NUMBER: 04892658 BUSINESS ADDRESS: STREET 1: 888 SEVENTH AVENUE STREET 2: 33RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10106 BUSINESS PHONE: 212-262--6 MAIL ADDRESS: STREET 1: 888 SEVENTH AVE STREET 2: 33RD FLR CITY: NEW YORK STATE: NY ZIP: 10106 3 1 doc3.xml FORM 3 SUBMISSION X0202 3 2004-06-30 0 0001279363 WELLCARE GROUP INC WCG 0001295979 WellCare Holdings, LLC C/O WELLCARE HEALTH PLANS, INC. 6800 N. DALE MABRY HIGHWAY, SUITE 268 TAMPA FL 33614 0 0 1 0 0001253602 SPEP GENERAL PARTNER LLC 888 SEVENTH AVENUE NEW YORK NY 10106 0 0 1 0 0001029160 SOROS FUND MANAGEMENT LLC 888 SEVENTH AVENUE NEW YORK NY 10106 0 0 1 0 0001253600 SOROS PRIVATE EQUITY INVESTORS LP 888 SEVENTH AVENUE NEW YORK NY 10106 0 0 1 0 0001253606 SPEP GENERAL PARTNER LP 888 SEVENTH AVENUE NEW YORK NY 10106 0 0 1 0 0000900203 SOROS GEORGE 888 SEVENTH AVENUE NEW YORK NY 10106 0 0 1 0 0001237660 QIH MANAGEMENT INVESTOR LP 888 SEVENTH AVENUE NEW YORK NY 10106 0 0 1 0 0001237658 QIH MANAGEMENT LLC 888 SEVENTH AVENUE NEW YORK NY 10106 0 0 1 0 Common Stock 100 D Soros Private Equity Investors LP is a Delaware limited partnership ("SPEI"). SPEI, by virtue of owning a majority of the interests in WellCare Holdings, LLC, a Delaware limited liability company ("WellCare Holdings"), may be deemed to be a beneficial owner of the shares of the Issuer's common stock held for the account of WellCare Holdings. The general partner of SPEI is SPEP General Partner LP, a Delaware limited partnership ("SPEP GP LP"). An investment committee of SPEP GP LP exercises exclusive decision-making authority with regard to the acquisition and disposition of, and voting power with respect to, investments by SPEI. SPEP GP LP's general partner is SPEP General Partner LLC, a Delaware limited liability company, whose managing member is QIH Management Investor, L.P., a Delaware limited partnership, whose sole general partner is QIH Management LLC, a Delaware limited liability company, whose sole managing member is Soros Fund Management LLC, a Delaware limited liability company ("SFM"). George Soros is the Chairman of SFM and, in such capacity, may be deemed to have voting and dispositive power over the securities held for the account of SPEI. (1) Mr. Brown is signing in his capacity as Assistant General Counsel of SFM, the managing member of QIH Management LLC, the sole general partner of QIH Management Investor, L.P. (2) Mr. Brown is signing in his capacity as Assistant General Counsel of SFM, the managing member of QIH Management LLC. (3) Mr. Brown is signing in his capacity as Assistant General Counsel of SFM. (4) Mr. Brown is signing in his capacity as Assistant General Counsel of SFM, the managing member of QIH Management LLC, the sole general partner of QIH Management Investor, L.P., the managing member of SPEP General Partner LLC, the general partner of SPEP GP LP, the general partner of SPEI. (5) Mr. Brown is signing in his capacity as Assistant General Counsel of SFM, the managing member of QIH Management LLC, the sole general partner of QIH Management Investor, L.P., the managing member of SPEP General Partner LLC. (6) Mr. Brown is signing in his capacity as Assistant General Counsel of SFM, the managing member of QIH Management LLC, the sole general partner of QIH Management Investor, L.P., the managing member of SPEP General Partner LLC, the general partner of SPEP GP LP. (7) Mr. Brown is signing in his capacity as Attorney-in-Fact for Mr. George Soros. /s/ Thaddeus Bereday, General Counsel 2004-06-30 John F. Brown, SPEP General Partner LLC (see General Remarks (5)) 2004-06-30 John F. Brown, Soros Fund Management LLC (see General Remarks (3)) 2004-06-30 John F. Brown, Soros Private Equity Investors LP (see General Remarks (4)) 2004-06-30 John F. Brown, SPEP General Partner LP (see General Remarks (6)) 2004-06-30 John F. Brown (see General Remarks (7)) 2004-06-30 John F. Brown, QIH Management Investor, L.P. (see General Remarks (1)) 2004-06-30 John F. Brown, QIH Management LLC (see General Remarks (2)) 2004-06-30 EX-24.3_47469 2 poa.txt POA DOCUMENT POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENT, that I, GEORGE SOROS, hereby make, constitute and appoint each of ARMANDO T. BELLY, JODYE ANZALOTTA, JOHN F. BROWN, MARYANN CANFIELD, RICHARD D. HOLAHAN, JR and ROBERT SOROS. acting individually, as my agent and attorney-in-fact for the purpose of executing in my name, (a) in my personal capacity or (b) in my capacity as Chairman of, member of or in other capacities with Soros Fund Management LLC ("SFM LLC") and each of its affiliates or entities advised by me or SFM LLC, all documents, certificates, instruments, statements, filings and agreements ("documents") to be filed with or delivered to any foreign or domestic governmental or regulatory body or required or requested by any other person or entity pursuant to any legal or regulatory requirement relating to the acquisition, ownership, management or disposition of securities, futures contracts or other investments, and any other documents relating or ancillary thereto, including without limitation all documents relating to filings with the Commodity Futures Trading Commission and National Futures Association, the United States Securities and Exchange Commission (the "SEC") pursuant to the Securities Act of 1933 or the Securities Exchange Act of 1934 (the "Act") and the rules and regulations promulgated thereunder, including all documents relating to the beneficial ownership of securities required to be filed with the SEC pursuant to Section 13(d) or Section 16(a) of the Act and any information statements on Form 13F required to be filed with the SEC pursuant to Section 13(f) of the Act. All past acts of these attorneys-in-fact in furtherance of the foregoing are hereby ratified and confirmed. Execution of this power of attorney revokes that certain Power of Attorney dated as of the 15th day of January 2002 with respect to the same matters addressed above. This power of attorney shall be valid from the date hereof until revoked by me. IN WITNESS WHEREOF, I have executed this instrument as of the 30th day of October 2002. /s/ George Soros _________________________ GEORGE SOROS -----END PRIVACY-ENHANCED MESSAGE-----