SEC Form 4 · accession 0001179929-18-000054
MOLINA HEALTHCARE, INC. · MOH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeff D. Barlow
Officer — Chief Legal Officer
Period of report
Mar 1, 2018
Accepted (ET)
Mar 2, 2018 · 9:25 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 | Mar 1, 2018 | F | 658 | $71.88 | D | 48,844 | D | |
| Common StockF2 | Mar 1, 2018 | F | 1,093 | $71.88 | D | 47,751 | D | |
| Common StockF4 | Mar 1, 2018 | D | 10,034 | $0.00 | D | 37,717 | D | |
| Common StockF2,F6 | Mar 1, 2018 | A | 22,259 | $71.88 | A | 59,976 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares were applied to payment of withholding taxes in connection with vesting of 1,885 shares on March 1, 2018, which vested upon the compensation committee's certification of the Company's 2017 annual premium revenue metric achievement.
- F2Represents the closing price of the Issuer's common stock on March 1, 2018.
- F3The shares were applied to the payment of withholding taxes arising in connection with the vesting of 3,158 shares on March 1, 2018.
- F4Represents forfeiture of performance-based restricted stock granted to Reporting Person on April 1, 2015 and March 7, 2016, which were subject to vesting upon certain financial performance objectives that were not achieved.
- F5Grant of restricted stock under the Issuer's 2011 Equity Incentive Plan, as amended.
- F6The shares vest as follows: (i) the 22,259 newly granted shares vest in one-third increments on each of March 1, 2019, March 1, 2020, and March 1, 2021; (ii) 3,158 shares shall vest on each of March 1, 2019 and March 1, 2020; (iii) 3,132 shares shall vest based on the Company's 2018 after tax profit margin; (iv) 4,698 shares shall vest upon the Company's achievement of certain business development targets; (v) 6,263 shares shall vest in two increments on each of March 7, 2018 and March 7, 2019; (vi) 1,885 shares shall vest on April 1, 2018; the remainder of the shares are vested.