SEC Form 4 · accession 0001179929-19-000052
MOLINA HEALTHCARE, INC. · MOH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph M Zubretsky
Officer — President & CEO · Director
Period of report
Mar 1, 2019
Accepted (ET)
Mar 5, 2019 · 8:38 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, 2019 | A | 37,572 | $138.40 | A | 93,220 | D | |
| Common StockF2,F4 | Mar 1, 2019 | F | 8,838 | $138.40 | D | 84,382 | 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 | $67.33 | holding | — | — | — | — | Oct 8, 2027 | Common Stock | 375,000 | — | D |
Explanation of responses
- F1Grant of restricted stock under the Issuer's 2011 Equity Incentive Plan, as amended.
- F2Represents the closing price of the Issuer's common stock on March 1, 2019.
- F3The shares were applied to the payment of withholding taxes arising in connection with the vesting of 18,550 shares on March 1, 2019.
- F4The 37,572 newly granted shares shall vest in one-third increments on each of March 1, 2020, March 1, 2021, and March 1, 2022; 18,549 shares vest on each of March 1, 2020, and March 1, 2021.
- F5125,000 options are vested; 125,000 options shall vest on each of October 9, 2019, and October 9, 2020.