SEC Form 4 · accession 0001593968-17-000221
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
Feb 4, 2017
Accepted (ET)
Feb 7, 2017 · 4:40 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,F2 | Feb 4, 2017 | F | 12,855 | $9.98 | D | 2,105,522 | D | |
| Common StockF3,F4 | Feb 4, 2017 | F | 12,855 | $9.98 | D | 2,092,667 | D | |
| Common StockF5 | Feb 6, 2017 | M | 400,000 | $7.87 | A | 2,492,667 | D | |
| Common StockF6,F5 | Feb 6, 2017 | F | 362,872 | $9.96 | D | 2,129,795 | D | |
| Common StockF1,F5 | Feb 6, 2017 | F | 20,317 | $9.96 | D | 2,109,478 | 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)F7 | $7.87 | Feb 6, 2017 | M | 400,000 | D | — | Feb 9, 2017 | Common Stock | 400,000 | 0 | D |
Explanation of responses
- F1Shares withheld by issuer to satisfy statutory tax withholding on vesting of restricted stock.
- F2Represents common stock including 520,907 shares of unvested restricted stock.
- F3Shares withheld by issuer to satisfy statutory tax withholding on vesting of performance shares.
- F4Represents common stock including 497,878 shares of unvested restricted stock.
- F5Represents common stock including 461,481 shares of unvested restricted stock.
- F6Shares surrendered to issuer in payment of exercise price and tax liability in connection with stock option exercise.
- F7Options are fully vested.