SEC Form 4/A · accession 0001179929-18-000055
MOLINA HEALTHCARE, INC. · MOH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Daniel Cooperman
Director
Period of report
Jan 1, 2018
Accepted (ET)
Mar 2, 2018 · 9:26 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,F3,F4 | Jan 1, 2018 | A | 717 | $76.68 | A | 6,579 | 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)F5 | $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, as amended, in connection with the Reporting Person's services as a Director.
- F2The aggregate dollar value of the annual equity award to each director in 2017-2018 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 January 1, 2018 was a non-trading day, the number of shares was calculated based on the closing price of the Issuer's common stock on December 29, 2017, of $76.68. Thus, the grant this quarter for services as a Director is for 717 shares of the Issuer's common stock.
- F3Represents the closing price of the Issuer's common stock on December 29, 2017.
- F4The total amount shown corrects an earlier overstatement of 3,225 shares.
- F5The options are fully vested.