SEC Form 4 · accession 0001593968-16-001361
UNIVERSAL AMERICAN CORP. · UAM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Adam C Thackery
Officer — Chief Financial Officer
Period of report
Dec 28, 2016
Accepted (ET)
Dec 29, 2016 · 4:33 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 | 32,500 | $7.87 | A | 191,024 | D | |
| Common StockF2,F1 | Dec 28, 2016 | F | 28,121 | $10.01 | D | 162,903 | D | |
| Common StockF1 | Dec 28, 2016 | M | 20,718 | $6.18 | A | 183,621 | D | |
| Common StockF2,F1 | Dec 28, 2016 | F | 15,722 | $10.01 | D | 167,899 | D | |
| Common StockF1 | Dec 28, 2016 | M | 13,270 | $6.05 | A | 181,169 | D | |
| Common StockF2,F1 | Dec 28, 2016 | F | 9,962 | $10.01 | D | 171,207 | D | |
| Common StockF1 | Dec 28, 2016 | M | 1,306 | $8.41 | A | 172,513 | D | |
| Common StockF2,F1 | Dec 28, 2016 | F | 1,175 | $10.01 | D | 171,338 | 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)F3 | $7.87 | Dec 28, 2016 | M | 32,500 | D | — | Feb 9, 2017 | Common Stock | 32,500 | 0 | D |
| Stock Option (Right to Buy)F4 | $6.18 | Dec 28, 2016 | M | 20,718 | D | — | Mar 4, 2018 | Common Stock | 20,718 | 6,907 | D |
| Stock Option (Right to Buy)F5 | $6.05 | Dec 28, 2016 | M | 13,270 | D | — | Feb 6, 2019 | Common Stock | 13,270 | 13,270 | D |
| Stock Option (Right to Buy)F6 | $8.41 | Dec 28, 2016 | M | 1,306 | D | — | Feb 13, 2020 | Common Stock | 1,306 | 3,918 | D |
Explanation of responses
- F1Represents common stock including 115,177 shares of unvested restricted stock.
- F2Shares surrendered to issuer in payment of exercise price and tax liability in connection with stock option exercise.
- F3Represents grant of stock options which vests in four equal installments beginning February 9, 2013.
- 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 February 6, 2015.
- F6Represents grant of stock options which vests in four equal installments beginning February 13, 2016.