SEC Form 4 · accession 0001593968-16-001362
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
Dec 28, 2016
Accepted (ET)
Dec 29, 2016 · 4:34 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 | 50,000 | $7.87 | A | 279,468 | D | |
| Common StockF2,F1 | Dec 28, 2016 | F | 43,263 | $10.01 | D | 236,205 | D | |
| Common StockF1 | Dec 28, 2016 | M | 37,500 | $6.18 | A | 273,705 | D | |
| Common StockF2,F1 | Dec 28, 2016 | F | 28,457 | $10.01 | D | 245,248 | D | |
| Common StockF1 | Dec 28, 2016 | M | 25,119 | $6.05 | A | 270,367 | D | |
| Common StockF2,F1 | Dec 28, 2016 | F | 18,856 | $10.01 | D | 251,511 | D | |
| Common StockF1 | Dec 28, 2016 | M | 3,265 | $8.41 | A | 254,776 | D | |
| Common StockF2,F1 | Dec 28, 2016 | F | 2,937 | $10.01 | D | 251,839 | 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 | 50,000 | D | — | Feb 9, 2017 | Common Stock | 50,000 | 0 | D |
| Stock Option (Right to Buy)F4 | $6.18 | Dec 28, 2016 | M | 37,500 | D | — | Mar 4, 2018 | Common Stock | 37,500 | 12,500 | D |
| Stock Option (Right to Buy)F5 | $6.05 | Dec 28, 2016 | M | 25,119 | D | — | Feb 6, 2019 | Common Stock | 25,119 | 25,119 | D |
| Stock Option (Right to Buy)F6 | $8.41 | Dec 28, 2016 | M | 3,265 | D | — | Feb 13, 2020 | Common Stock | 3,265 | 9,795 | D |
Explanation of responses
- F1Represents common stock including 174,392 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.