SEC Form 4 · accession 0001179929-16-000389
MOLINA HEALTHCARE, INC. · MOH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel Cooperman
Director
Period of report
Oct 1, 2016
Accepted (ET)
Oct 3, 2016 · 8:22 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, 2016 | A | 943 | $58.32 | A | 17,314 | 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 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.
- F4The options are fully vested.