SEC Form 4 · accession 0001593968-16-001360
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
Dec 28, 2016
Accepted (ET)
Dec 29, 2016 · 4:32 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 | Dec 28, 2016 | M | 12,500 | $5.86 | A | 115,845 | D | |
| Common StockF2,F1 | Dec 28, 2016 | F | 9,202 | $10.01 | D | 106,643 | D | |
| Common StockF1 | Dec 28, 2016 | M | 18,750 | $6.18 | A | 125,393 | D | |
| Common StockF2,F1 | Dec 28, 2016 | F | 14,184 | $10.01 | D | 111,209 | D | |
| Common StockF1 | Dec 28, 2016 | M | 12,560 | $6.05 | A | 123,769 | D | |
| Common StockF2,F1 | Dec 28, 2016 | F | 9,398 | $10.01 | D | 114,371 | D | |
| Common StockF1 | Dec 28, 2016 | M | 1,633 | $8.41 | A | 116,004 | D | |
| Common StockF2,F1 | Dec 28, 2016 | F | 1,467 | $10.01 | D | 114,537 | D | |
| Common StockF3 | Dec 28, 2016 | M | 12,500 | $5.86 | A | 118,530 | I | By Wife |
| Common StockF2,F3 | Dec 28, 2016 | F | 7,318 | $10.01 | D | 111,212 | I | By Wife |
| Common StockF3 | Dec 28, 2016 | M | 18,750 | $6.18 | A | 129,962 | I | By Wife |
| Common StockF2,F3 | Dec 28, 2016 | F | 11,576 | $10.01 | D | 118,386 | I | By Wife |
| Common StockF3 | Dec 28, 2016 | M | 12,559 | $6.05 | A | 130,945 | I | By Wife |
| Common StockF2,F3 | Dec 28, 2016 | F | 7,591 | $10.01 | D | 123,354 | I | By Wife |
| Common StockF3 | Dec 28, 2016 | M | 1,632 | $8.41 | A | 124,986 | I | By Wife |
| Common StockF2,F3 | Dec 28, 2016 | F | 1,372 | $10.01 | D | 123,614 | 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)F4 | $6.18 | Dec 28, 2016 | M | 18,750 | D | — | Mar 4, 2018 | Common Stock | 18,750 | 6,250 | D |
| Stock Option (Right to Buy)F5 | $5.86 | Dec 28, 2016 | M | 12,500 | D | — | Oct 16, 2017 | Common Stock | 12,500 | 0 | D |
| Stock Option (Right to Buy)F6 | $6.05 | Dec 28, 2016 | M | 12,560 | D | — | Feb 6, 2019 | Common Stock | 12,560 | 12,558 | D |
| Stock Option (Right to Buy)F7 | $8.41 | Dec 28, 2016 | M | 1,633 | D | — | Feb 13, 2020 | Common Stock | 1,633 | 4,897 | D |
| Stock Option (Right to Buy)F4 | $6.18 | Dec 28, 2016 | M | 18,750 | D | — | Mar 4, 2018 | Common Stock | 18,750 | 6,250 | I |
| Stock Option (Right to Buy)F5 | $5.86 | Dec 28, 2016 | M | 12,500 | D | — | Oct 16, 2017 | Common Stock | 12,500 | 0 | I |
| Stock Option (Right to Buy)F6 | $6.05 | Dec 28, 2016 | M | 12,559 | D | — | Feb 6, 2019 | Common Stock | 12,559 | 12,559 | I |
| Stock Option (Right to Buy)F7 | $8.41 | Dec 28, 2016 | M | 1,632 | D | — | Feb 13, 2020 | Common Stock | 1,632 | 4,898 | I |
Explanation of responses
- F1Represents common stock including 83,615 shares of unvested restricted stock.
- F2Shares surrendered to issuer in payment of exercise price and tax liability in connection with stock option exercise.
- F3Represents common stock including 83,613 shares of unvested restricted stock.
- F4Represents grant of stock options which vests in four equal installments beginning March 4, 2014.
- F5Represents grant of stock options which vests in four equal installments beginning October 16, 2013.
- F6Represents grant of stock options which vests in four equal installments beginning February 6, 2015.
- F7Represents grant of stock options which vests in four equal installments beginning February 13, 2016.