SEC Form 4 · accession 0001179929-17-000086
MOLINA HEALTHCARE, INC. · MOH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph W White CPA
Officer — Chief Accounting Officer
Period of report
Apr 1, 2017
Accepted (ET)
Apr 4, 2017 · 4:57 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 | Apr 1, 2017 | F | 1,181 | $45.60 | D | 85,695 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares were applied to the payment of withholding taxes arising in connection with the vesting of 2,263 shares on April 1, 2017.
- F2Represents the closing price of the Issuer's common stock on March 31, 2017.
- F3The shares vest as follows: (i) 13,847 shares shall vest in one-third increments over three years, on each of March 1, 2018, March 1, 2019, and March 1, 2020; (ii) 4,317 shares shall vest based on the Company's 2017 after tax profit margin; (iii) 4,317 shares shall vest based on the Company's 2018 after tax profit margin; (iv) 4,317 shares shall vest based upon the Company's 2017 STARS ratings; (v) 6,476 shares shall vest upon the Company's achievement of certain business development targets; (vi) 8,636 shares shall vest one half on each of March 7, 2018 and March 7, 2019; continued
- F4(vii) 2,262 shares shall vest based on the Company's 2017 annual premium revenue achievement; (viii) 2,262 shares shall vest based on the Company's 2017 net profit margin achievement; (ix) 2,262 shares shall vest based on pre-tax income in fiscal year 2017; (x) 2,262 shares shall vest upon the Company's achieving a three-year Total Stockholder Return (TSR) for the three-year period ending December 31, 2017 as determined by ISS calculations that is greater than the median TSR achieved by the Company's 2015 ISS peer group; and (xi) 2,262 shares shall vest on April 1, 2018; the remainder of the shares are vested.