SEC Form 4 · accession 0001593968-16-000537
UNIVERSAL AMERICAN CORP. · UAM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven H Black
Officer — Chief Administration Officer
Period of report
Jan 21, 2016
Accepted (ET)
Feb 8, 2016 · 7:08 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001514128
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jan 21, 2016 | G | 13,835 | $0.00 | D | 86,495 | D | |
| Common StockF3,F4 | Feb 4, 2016 | A | 19,540 | $0.00 | A | 106,035 | D | |
| Common StockF5,F6 | Feb 4, 2016 | A | 19,540 | $0.00 | A | 125,575 | D | |
| Common StockF7,F8 | Feb 4, 2016 | G | 9,770 | $0.00 | D | 115,805 | D | |
| Common StockF7,F4 | Feb 4, 2016 | G | 9,770 | $0.00 | D | 106,035 | D | |
| Common StockF9,F10 | Feb 6, 2016 | F | 1,130 | $5.70 | D | 104,905 | D | |
| Common StockF1,F11 | Jan 21, 2016 | G | 13,835 | $0.00 | A | 86,490 | I | By Wife |
| Common StockF7,F12 | Feb 4, 2016 | G | 9,770 | $0.00 | A | 96,260 | I | By Wife |
| Common StockF7,F13 | Feb 4, 2016 | G | 9,770 | $0.00 | A | 106,030 | I | By Wife |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F14 | $6.09 | Feb 4, 2016 | A | 18,298 | A | — | Feb 4, 2021 | Common Stock | 18,298 | 18,298 | D |
| Stock Option (Right to Buy)F7,F14 | $6.09 | Feb 4, 2016 | G | 9,149 | D | — | Feb 4, 2021 | Common Stock | 9,149 | 9,149 | D |
| Stock Option (Right to Buy)F15 | $6.09 | Feb 4, 2016 | A | 18,298 | A | — | Feb 4, 2021 | Common Stock | 18,298 | 18,298 | D |
| Stock Option (Right to Buy)F7,F15 | $6.09 | Feb 4, 2016 | G | 9,149 | D | — | Feb 4, 2021 | Common Stock | 9,149 | 9,149 | D |
| Stock Option (Right to Buy)F7 | $6.09 | Feb 4, 2016 | G | 9,149 | A | — | Feb 4, 2021 | Common Stock | 9,149 | 9,149 | I |
| Stock Option (Right to Buy)F7 | $6.09 | Feb 4, 2016 | A | 9,149 | A | — | Feb 4, 2021 | Common Stock | 9,149 | 9,149 | I |
Explanation of responses
- F1Represents a gift of common stock from the named officer to his spouse.
- F10Represents common stock including 88,339 shares of unvested restricted stock.
- F11Represents common stock including 71,718 shares of unvested restricted stock.
- F12Represents common stock including 81,488 shares of unvested restricted stock.
- F13Represents common stock including 91,258 shares of unvested restricted stock.
- F14Represents grant of stock options which vests in four equal annual installments beginning February 4, 2017.
- F15Represents grant of performance options which vest 25% per year over four years subject to the Company having met a specified target of stock price appreciation.
- F2Represents common stock including 71,722 shares of unvested restricted stock.
- F3Represents grant of restricted stock which vests in four equal annual installments beginning February 4, 2017.
- F4Represents common stock including 91,262 shares of unvested restricted stock.
- F5Represents grant of performance shares which vest 25% per year over four years subject to the Company having met a specified target of stock price appreciation.
- F6Represents common stock including 110,802 shares of unvested restricted stock.
- F7Represents a gift of awards from the named officer to his spouse. The original vesting schedule applies.
- F8Represents common stock including 101,032 shares of unvested restricted stock.
- F9Shares withheld by issuer to satisfy statutory tax withholding on vesting of restricted stock.