SEC Form 4 · accession 0001209191-17-024951
MOLINA HEALTHCARE, INC. · MOH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John C Molina
Officer — CFO · Director
Period of report
Apr 1, 2017
Accepted (ET)
Apr 4, 2017 · 4:51 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,F5,F6 | Apr 1, 2017 | F | 2,105 | $45.60 | D | 90,353 | D | |
| Common StockF7 | holding | — | — | — | 622,074 | I | Trustee of Family Trust | |
| Common StockF8,F9 | holding | — | — | — | 602,643 | D | ||
| Common StockF10 | holding | — | — | — | 11,154 | 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 4,034 shares on April 1, 2017.
- F10The shares are owned by Mr. Molina and his spouse as community property.
- F2Represents the closing price of the Issuer's common stock on March 31, 2017.
- F34,034 shares vest based on the Company's 2017 annual premium revenue achievement; 4,034 shares vest based on the Company's 2017 net profit margin achievement; 4,034 shares vest based on pre-tax income in fiscal year 2017; 4,034 shares shall vest on April 1, 2018. See 2015 Definitive Proxy Statement.
- F46,600 shares shall vest based on the Company's 2017 after tax profit margin; 6,600 shares shall vest based on the Company's 2018 after tax profit margin; 6,600 shares shall vest based upon the Company's 2017 STARS ratings; 13,200 shares shall vest upon the Company's achievement of certain business development targets; 6,600 shares shall vest on each of March 7, 2018, and March 7, 2019.
- F520,041 shares shall vest in one-third increments over three years, on each of March 1, 2018, March 1, 2019, and March 1, 2020.
- F6Excludes 1,929 shares after tax withholding now shown as fully vested.
- F7The shares are owned by the John C. Molina Separate Property Trust, of which Mr. Molina is the trustee and beneficiary.
- F8All of these shares are fully vested.
- F9Includes 1,929 shares vested on April 1, 2017 net of shares withheld for payment of taxes.