0001140361-15-042072.txt : 20151117 0001140361-15-042072.hdr.sgml : 20151117 20151117172028 ACCESSION NUMBER: 0001140361-15-042072 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: PERRY RICHARD C CENTRAL INDEX KEY: 0000925183 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35149 FILM NUMBER: 151238970 MAIL ADDRESS: STREET 1: C/O PERRY CORP STREET 2: 599 LEXINGTON AVE CITY: NEW YORK STATE: NY ZIP: 10022 4 1 doc1.xml FORM 4 X0306 4 2015-11-13 0 0001514128 UNIVERSAL AMERICAN CORP. UAM 0000925183 PERRY RICHARD C C/O PERRY CORP. 767 FIFTH AVENUE, 19TH FLOOR NEW YORK NY 10153 1 0 0 0 Common Stock, par value $0.01 per share 2015-11-13 4 A 0 1804 0 A 2706736 I By Perry Partners, L.P. Common Stock, par value $0.01 per share 2015-11-13 4 A 0 1804 0 A 2708540 I By Perry Partners, L.P. Common Stock, par value $0.01 per share 2015-11-13 4 A 0 3349 0 A 13051 I By Perry Partners International Master, Inc. Common Stock, par value $0.01 per share 2015-11-13 4 A 0 3349 0 A 16400 I By Perry Partners International Master, Inc. Common Stock, par value $0.01 per share 2015-11-13 4 A 0 89 0 A 89899 I By Perry Private Opportunities Offshore Fund, L.P. Common Stock, par value $0.01 per share 2015-11-13 4 A 0 89 0 A 89988 I By Perry Private Opportunities Offshore Fund, L.P. Common Stock, par value $0.01 per share 2015-11-13 4 A 0 489 0 A 492232 I By Perry Private Opportunities Fund, L.P. Common Stock, par value $0.01 per share 2015-11-13 4 A 0 489 0 A 492721 I By Perry Private Opportunities Fund, L.P. Common Stock, par value $0.01 per share 4414601 I By Perry Partners International, Inc. These shares of restricted stock vest as to one-quarter of the number of shares on November 13, 2016, one-quarter of the number of shares on November 13, 2017, one-quarter of the number of shares on November 13, 2018, and one-quarter of the number of shares on November 13, 2019. The direct or indirect general partner and/or investment manager of Perry Partners, L.P., Perry Partners International, Inc., Perry Partners International Master , Inc., Perry Private Opportunities Offshore Fund, L.P. and Perry Private Opportunities Fund, L.P. (collectively, the "Perry Funds") is Perry Corp., of which Mr. Perry is the President and sole shareholder. Perry Corp. and Mr. Perry may be deemed to have voting and dispositive power with respect to shares held by the Perry Funds. Each of Mr. Perry and Perry Corp. disclaims beneficial ownership of such shares, except to the extent of his or its pecuniary interest therein, if any, and this report shall not be deemed an admission that either Mr. Perry or Perry Corp. is the beneficial owner of the shares for purposes of Section 16 of the Exchange Act or for any other purpose. These shares of restricted stock vest as to one-quarter of the number of shares on November 13, 2016, one-quarter of the number of shares on November 13, 2017, one-quarter of the number of shares on November 13, 2018, and one-quarter of the number of shares on November 13, 2019, in each case subject to the Issuer having met a specified target of stock price appreciation. /s/ Michael C. Neus, as attorney-in-fact 2015-11-17