SEC Form 4 · accession 0001593968-16-000708
UNIVERSAL AMERICAN CORP. · UAM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tony Wolk
Officer — EVP, General Counsel
Period of report
Mar 4, 2016
Accepted (ET)
May 4, 2016 · 4:21 pm EDT
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 | Mar 4, 2016 | F | 1,387 | $6.72 | D | 221,188 | D | |
| Common StockF2 | May 2, 2016 | M | 75,000 | $5.98 | A | 296,188 | D | |
| Common StockF3,F2 | May 2, 2016 | F | 66,720 | $7.25 | D | 229,468 | D |
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)F4 | $5.98 | May 2, 2016 | M | 75,000 | D | — | May 2, 2016 | Common Stock | 75,000 | 0 | D |
Explanation of responses
- F1Shares withheld by issuer to satisfy statutory tax withholding on vesting of restricted stock.
- F2Represents common stock including 174,392 shares of unvested restricted stock.
- F3Shares surrendered to issuer in payment of exercise price and tax liability in connection with stock option exercise.
- F4Options are fully vested.