-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BPyFMGsSU/kS4iDFF3GkLuJn3puipaGNCLhHjYcNVXQOSe+pKDfs/NmzWqB6o++J 34xEu1vpCPxSJCviOClU+w== 0000709878-03-000001.txt : 20030204 0000709878-03-000001.hdr.sgml : 20030204 20030204085824 ACCESSION NUMBER: 0000709878-03-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030130 FILED AS OF DATE: 20030204 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: WILSON FRANCIS S CENTRAL INDEX KEY: 0001179658 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 4 MAIL ADDRESS: STREET 1: SIX INTERNATIONAL DR STREET 2: STE 190 CITY: RYE BROOK STATE: NY ZIP: 10573-1068 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: UNIVERSAL AMERICAN FINANCIAL CORP CENTRAL INDEX KEY: 0000709878 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 112580136 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08506 FILM NUMBER: 03537378 BUSINESS ADDRESS: STREET 1: SIX INTERNATIONAL DRIVE STREET 2: SUITE 190 CITY: RYE BROOK STATE: NY ZIP: 10573-1068 BUSINESS PHONE: 9149345200X253 MAIL ADDRESS: STREET 1: SIX INTERNATIONAL DRIVE STREET 2: SUITE 190 CITY: RYE BROOK STATE: NY ZIP: 10573-1068 FORMER COMPANY: FORMER CONFORMED NAME: UNIVERSAL HOLDING CORP DATE OF NAME CHANGE: 19920703 4 1 fwilsonform41-2003.txt FORM 4 FRANCIS WILSON 1. Name and Address of Reporting Person Wilson, Francis S. 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/Day/Year 10/11/2001 5. If Amendment, Date of Original (Month/Day/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 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- |2A.Execu- |3. Trans-|4. Securities Acquired (A)|5. Amount of |6. Owner- |7. Nature | | | action | action | action| or Disposed of (D) |Securities | ship | of In- | | | Date | Date | Code | |Beneficially | Form: | direct | | | | | | |Owned | Direct | Bene- | | | (Month/ | (Month/ | | |Following | (D) or | ficial | | | Day/ | Day/ +-----+---+-----------+---+----------+Reported | Indirect| Owner- | | | Year) | Year) |Code |V |Amount |A/D|Price |Transaction(s)| (I) | ship | +------------------------------+----------+----------+-----+---+-----------+---+----------+--------------+-----------+------------+ Common Stock 12/11/2002 J 18475 A $2.3750 I Trevian Corp. (Subchapter S Corporation) Common Stock 12/17/2002 S -1000 D $5.7900 I Trevian Corp. (Subchapter S Corporation) Common Stock 12/17/2002 S -500 D $5.9300 I Trevian Corp. (Subchapter S Corporation) Common Stock 12/18/2002 S -500 D $5.5500 I Trevian Corp. (Subchapter S Corporation) Common Stock 12/18/2002 S -500 D $5.5100 I Trevian Corp. (Subchapter S Corporation) Common Stock 12/23/2002 S -1000 D $6.2700 I Trevian Corp. (Subchapter S Corporation) Common Stock 12/31/2002 S -1000 D $5.9300 I Trevian Corp. (Subchapter S Corporation) Common Stock 01/08/2003 S -1000 D $5.7000 I Trevian Corp. (Subchapter S Corporation) Common Stock 01/14/2003 S -3000 D $5.7900 9975 I Trevian Corp. (Subchapter S Corporation)
TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
+----------+--------+-------+-------+---------+-----------+---------------------+----------------+----------+-------+-------+------+ |1. |2. |3. |3A. |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- |Trans- |Execu- | |Number of | |Securities | |ities |Secur- |of | | |sion or |action |tion | |Derivative |Date Exercisable +-------+--------+ |Benefi-|ity: |In- | | |Exercise|Date |Date | |Securities |and Expiration Date | |Amount | |cially |Direct |direct| | |Price of| | |Transac- |Acquired(A)|(Month/Day/Year) | |or | |Owned |(D) or |Bene- | |Title of |Deriv- |(Month/|(Month/|tion Code|Disposed(D)+----------+----------+ |Number |Price of | |In- |ficial| |Derivative|ative | Day/ | Day/ +------+--+-----+-----+Date Exer-|Expira- | |of |Derivative| |direct |Owner-| |Security |Security|Year) |Year) |Code |V |(A) |(D) |cisable |tion Date |Title |Shares |Security | |(I) |ship | +----------+--------+-------+-------+------+--+-----+-----+----------+----------+-------+--------+----------+-------+-------+------+ Stock $7.15 10/11/2 A 4500 10/11/2004 10/11/2011 Common 4500 $0.0000 4500 D Options 001 Stock (Right to buy) Stock $7.26 05/29/2012 Common 4500 D Options Stock (Right to buy) Explanation of Responses: Distribution of limited partnership investment. Exercisable over a 3-year period; 33% on 10/11/02, 67% on 10/11/03 and 100% on 10/11/04.
SIGNATURE OF REPORTING PERSON /s/ Francis S. Wilson DATE 02/04/2003 -----END PRIVACY-ENHANCED MESSAGE-----