5 1 gbryantform5-2001.txt GARY BRYANT FORM 5 2001 1. Name and Address of Reporting Person Bryant, Gary W. 6 International Drive Rye Brook, NY 10573 USA 2. Issuer Name and Ticker or Trading Symbol Universal American Financial Corp. (UHCO) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year 2001 5. If Amendment, Date of Original (Month/Day/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) President of Subsidiary 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person TABLE I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
+---------------------------------+----------+-------------+-----------------------------+----------------+-----------+------------+ |1. Title of Security |2. Trans- |3. Trans- |4. Securities Acquired (A) |5. Amount of |6. Owner- |7. Nature | | | action | action | or Disposed of (D) | Securities | ship | of In- | | | Date | Code | | Beneficially | Form: | direct | | | | | | Owned at | Direct | Bene- | | | (Month/ | | | End of | (D) or | ficial | | | Day/ | +-----------+------+----------+ Year | Indirect| Owner- | | | Year) | |Amount |A/D |Price | | (I) | ship | +---------------------------------+----------+-------------+-----------+------+----------+----------------+-----------+------------+ Preferred Stock 0 D Common Stock 12/31/2001 J 29586 A $0.0000 298925 D
TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
+-------------+--------+----------+---------+-----------+---------------------+----------------+----------+--------+-------+-------+ |1. |2. |3. |4. |5. |6. |7. |8. |9. |10. |11. | | | | | | | | | |Number |Owner- | | | | | | | | | | |of |ship | | | | | | | | | | |Deriv- |Form of| | | | | | | | |Title and Amount| |ative |Deriv- | | | | | | | | |of Underlying | |Secur- |ative |Nature | | |Conver- | | |Number of | |Securities | |ities |Secur- |of | | |sion or | | |Derivative |Date Exercisable +-------+--------+ |Benefi- |ity: |In- | | |Exercise| | |Securities |and Expiration Date | |Amount | |cially |Direct |direct | | |Price of|Transac- |Transac- |Acquired(A)|(Month/Day/Year) | |or | |Owned |(D) or |Bene- | |Title of |Deriv- |tion Date |tion Code|Disposed(D)+----------+----------+ |Number |Price of |at End |In- |ficial | |Derivative |ative |(Month/ | +-----+-----+Date Exer-|Expira- | |of |Derivative|of |direct |Owner- | |Security |Security|Day/Year) | |(A) |(D) |cisable |tion Date |Title |Shares |Security |Year |(I) |ship | +-------------+--------+----------+---------+-----+-----+----------+----------+-------+--------+----------+--------+-------+-------+ Stock Options $2 12/10/2006 Common 30000 D (Right to buy) Stock Stock Options $2.25 12/14/2005 Common 10000 D (Right to buy) Stock Stock Options $2.25 12/08/2008 Common 17500 D (Right to buy) Stock Stock Options $2.25 12/09/2008 Common 17500 D (Right to buy) Stock Stock Options $2.62 05/28/2008 Common 80000 D (Right to buy) Stock Stock Options $2.75 12/09/2007 Common 20000 D (Right to buy) Stock Stock Options $3.12 06/14/2004 Common 15000 D (Right to buy) Stock Stock Options $3.15 08/01/2009 Common 262500 D (Right to buy) Stock Stock Options $3.88 02/28/2011 Common 37500 D (Right to buy) Stock Stock Options $4.09 04/01/2010 Common 45000 D (Right to buy) Stock Explanation of Responses: Shares purchased through 401(k) plan. (Note: includes shares acquired prior to 1/1/2001 that were not previously reported.)
SIGNATURE OF REPORTING PERSON /s/ Gary W. Bryant DATE 08/12/2002