SEC Form 4 · accession 0001179929-15-000155
MOLINA HEALTHCARE, INC. · MOH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dale B Wolf
Director
Period of report
Oct 1, 2015
Accepted (ET)
Oct 2, 2015 · 7:42 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001179929
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2,F3 | Oct 1, 2015 | A | 799 | $66.79 | A | 18,256 | 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)F4 | $33.02 | holding | — | — | — | — | Mar 11, 2023 | Common Stock | 15,000 | 15,000 | D |
Explanation of responses
- F1Grant of stock under the Issuer's 2011 Equity Incentive Plan in connection with the Reporting Person's services as a director.
- F2The aggregate dollar value of the annual equity award to each director in 2015-2016 shall be $220,000, with one quarter of that amount in stock, or $55,000, to be granted on the first day of each quarter based on the closing price of the Issuer's common stock on the last day of the immediately preceding quarter. The closing price of the Issuer's common stock on the last day of the immediately preceding quarter, September 30, 2015, was $68.85. Thus, the grant this quarter for services as a director is for 799 shares of the Issuer's common stock.
- F3Represents the closing price of the Issuer's common stock on October 1, 2015.
- F410,000 options are vested; the remaining 5,000 options will vest on March 11, 2016.