SEC Form 4 · accession 0001179929-16-000383
MOLINA HEALTHCARE, INC. · MOH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ronna Romney
Director
Period of report
Oct 1, 2016
Accepted (ET)
Oct 3, 2016 · 8:20 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,F4 | Oct 1, 2016 | A | 943 | $58.32 | A | 23,284 | I | Held by trust |
| Common StockF6,F4 | Oct 3, 2016 | S | 250 | $57.91 | D | 23,034 | I | Held by trust |
Table II — derivative securities
No Table II lines on this filing.
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 2016-2017 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 such day. Since the grant date of October 1, 2016 was a non-trading day, the number of shares was calculated based on the closing price of the Issuer's common stock on September 30, 2016, of $58.32. Thus, the grant this quarter for services as a director is for 943 shares of the Issuer's common stock.
- F3Represents the closing price of the Issuer's common stock on September 30, 2016.
- F4All shares held by Ronna Romney Revocable Trust.
- F5The sale was made pursuant to Reporting Person's Rule 10b5-1 Trading Plan that was established on March 8, 2016.
- F6Represents the actual selling price for all 250 shares.