SEC Form 4 · accession 0001593968-16-000712
UNIVERSAL AMERICAN CORP. · UAM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard A Barasch
Officer — Chief Executive Officer · Director
Period of report
Dec 31, 2012
Accepted (ET)
May 5, 2016 · 10:08 am 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 | Dec 31, 2012 | G | 494,400 | $8.59 | D | 1,961,642 | D | |
| Common StockF2,F1 | Mar 4, 2016 | F | 11,164 | $6.72 | D | 1,950,478 | D | |
| Common StockF1 | May 2, 2016 | M | 350,000 | $5.98 | A | 2,300,478 | D | |
| Common StockF3 | May 2, 2016 | F | 322,914 | $7.25 | D | 1,977,564 | D | |
| Common Stock | Dec 31, 2012 | G | 150,000 | $8.59 | D | 242,077 | I | By Wife |
| Common Stock | Dec 26, 2014 | G | 20,000 | $9.10 | D | 222,077 | I | By Wife |
| Common Stock | Dec 31, 2012 | G | 150,000 | $8.59 | A | 215,835 | I | Tara Acquisition LLC |
| Common Stock | Dec 1, 2014 | G | 67,744 | $8.67 | D | 0 | I | Norman Barasch Trust #1 |
| Common Stock | Dec 31, 2012 | G | 494,400 | $8.59 | A | 494,400 | I | Barasch Family Trust #3 |
| Common Stock | Dec 1, 2014 | G | 33,872 | $8.67 | A | 33,872 | I | HB Family Trust #1 |
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 | 350,000 | D | — | May 2, 2016 | Common Stock | 350,000 | 0 | D |
Explanation of responses
- F1Represents common stock including 403,123 shares of unvested restricted stock.
- F2Shares withheld by issuer to satisfy statutory tax withholding on vesting of restricted stock.
- F3Shares surrendered to issuer in payment of exercise price and tax liability in connection with stock option exercise.
- F4Options are fully vested.