SEC Form 4 · accession 0001179929-18-000030
MOLINA HEALTHCARE, INC. · MOH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Terry Bayer
Officer — Chief Operating Officer
Period of report
Feb 2, 2018
Accepted (ET)
Feb 6, 2018 · 8:01 pm EST
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 | Feb 2, 2018 | F | 17,365 | $90.63 | D | 49,923 | D | |
| Common StockF4 | Feb 2, 2018 | D | 21,192 | $0.00 | D | 28,731 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares were applied to payment of withholding taxes with respect to the accelerated vesting of 36,939 shares on February 2, 2018, in connection with Ms. Bayer's retirement from her position as chief operating officer.
- F2Represents the closing price of the Issuer's stock on February 2, 2018.
- F3Represents forfeiture of performance-based restricted stock awards that were subject to vesting upon certain performance metrics, in connection with Ms. Bayer's retirement.
- F42,865 shares shall vest based on the Company's 2017 annual premium revenue achievement; the remainder of the shares are vested.