SEC Form 4 · accession 0001209191-17-043516
MOLINA HEALTHCARE, INC. · MOH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
J Mario Molina M.D.
Director
Period of report
Jul 1, 2017
Accepted (ET)
Jul 5, 2017 · 5:59 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 | Jul 1, 2017 | A | 795 | $69.18 | A | 173,565 | I | Trust |
| Common StockF5 | holding | — | — | — | 419,184 | I | Trust | |
| Common StockF6 | holding | — | — | — | 122,956 | I | Trust | |
| Common StockF7 | holding | — | — | — | 18,920 | I | Trust | |
| Common StockF8 | holding | — | — | — | 18,920 | I | Trust | |
| Common StockF9 | holding | — | — | — | 18,920 | I | Trust | |
| Common StockF10 | holding | — | — | — | 19,280 | I | Trust | |
| Common StockF11 | holding | — | — | — | 42,126 | I | Trust | |
| Common StockF12 | holding | — | — | — | 42,126 | I | Trust | |
| Common StockF13 | holding | — | — | — | 42,124 | I | Trust | |
| Common StockF14 | holding | — | — | — | 28,536 | I | Trust | |
| Common StockF15 | holding | — | — | — | 65,282 | I | Trust | |
| Common StockF16 | holding | — | — | — | 83,087 | I | Trust | |
| Common StockF17 | holding | — | — | — | 83,087 | I | Trust | |
| Common StockF18 | holding | — | — | — | 200,000 | I | Trust |
Table II — derivative securities
No Table II lines on this filing.
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.
- F10The shares are owned by Dr. Molina, as trustee of the Carley A.F. Fox Trust No. 2 dated 5/14/2003.
- F11The shares are owned by Dr. Molina's spouse, Therese A. Molina, Trustee of the Remainder Trust for David M.F. Molina dated 12/3/2008.
- F12The shares are owned by Dr. Molina's spouse, Therese A. Molina, Trustee of the Remainder Trust for Mary Clare F. Molina dated 12/3/2008.
- F13The shares are owned by Dr. Molina's spouse, Therese A. Molina, Trustee of the Remainder Trust for Colleen A.F. Fox dated 12/3/2008.
- F14The shares are owned by Dr. Molina's spouse, Therese A. Molina, Trustee of the Remainder Trust for Carley F. Fox dated 12/3/2008.
- F15The shares are owned by JMB GRAT 1209/4 for the benefit of Josephine M. Battiste, of which Dr. Molina is sole trustee.
- F16The shares are owned by Dr. Molina, as trustee of the Katherine Rose Battiste Trust IV.
- F17The shares are owned by Dr. Molina, as trustee of the Julius Avery Battiste Trust IV.
- F18The shares are owned by JMM GRAT 716/3, of which Dr. Molina is the beneficiary.
- 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 July 1, 2017 was a non-trading day, the number of shares was calculated based on the closing price of the Issuer's common stock on June 30, 2017, of $69.18. Thus, the grant this quarter for services as a Director is for 795 shares of the Issuer's common stock.
- F3Represents the closing price of the Issuer's common stock on June 30, 2017.
- F4The shares are held by the M/T Molina Family Trust, of which Dr. Molina and his spouse are trustees and beneficiaries.
- F5The shares are owned by the J. Marion Molina Separate Property Trust, of which Dr. Molina is sole trustee.
- F6The shares are owned by Dr. Molina's spouse, Therese A. Molina, as trustee of the MM GRAT 915/3.
- F7The shares are owned by Dr. Molina, as trustee of the David M.F. Molina Trust No. 2 dated 5/14/2003.
- F8The shares are owned by Dr. Molina, as trustee of the Mary Clare F. Molina Trust No. 2 dated 5/14/2003.
- F9The shares are owned by Dr. Molina, as trustee of the Colleen A.F. Fox Trust No. 2 dated 5/14/2003.