SEC Form 4 · accession 0001209191-17-044214
MOLINA HEALTHCARE, INC. · MOH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Curtis Pedersen
Other
William Dentino
10% Owner · Other
MOLINA MARITAL TRUST
10% Owner
MARY R MOLINA LIVING TRUST
10% Owner
Period of report
Jul 3, 2017
Accepted (ET)
Jul 6, 2017 · 6:52 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 | Jul 3, 2017 | S | 22,000 | $68.5663 | D | 3,695,550 | I | Trustee |
| Common StockF4,F3 | Jul 5, 2017 | S | 22,000 | $68.755 | D | 3,673,550 | I | Trustee |
| Common StockF5,F3 | Jul 6, 2017 | S | 22,000 | $68.7153 | D | 3,651,550 | I | Trustee |
| Common StockF6 | holding | — | — | — | 254,209 | I | Trustee | |
| Common StockF7 | holding | — | — | — | 16,099 | I | Executor | |
| Common StockF8 | holding | — | — | — | 208,795 | I | Trustee | |
| Common StockF9 | holding | — | — | — | 270,555 | I | Trustee | |
| Common StockF10 | holding | — | — | — | 295,750 | I | Trustee | |
| Common StockF11 | holding | — | — | — | 344,906 | I | Trustee | |
| Common StockF12 | holding | — | — | — | 172,990 | I | Trustee | |
| Common StockF13 | holding | — | — | — | 192,705 | I | Trustee | |
| Common StockF14 | holding | — | — | — | 206,719 | I | Trustee | |
| Common StockF15 | holding | — | — | — | 4,090,360 | I | Trustee | |
| Common StockF16 | holding | — | — | — | 300 | D | ||
| Common StockF17 | holding | — | — | — | 1,496 | D | ||
| Common StockF18 | holding | — | — | — | 154,291 | I | Trustee |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Sale pursuant to the Rule 10b5-1 Trading Plan of the Mary R Molina Living Trust.
- F10The shares are owned by MRM GRAT 1210/4, of which Mr. Dentino and Mr. Pedersen are co-trustees.
- F11The shares are owned by MRM GRAT 811/3, of which Mr. Dentino and Mr. Pedersen are co-trustees.
- F12The shares are owned by MRM GRAT 610/4, of which Mr. Dentino and Mr. Pedersen are co-trustees.
- F13The shares are owned by the MRM GRAT 1209/4, of which Mr. Dentino and Mr. Pedersen are co-trustees.
- F14The shares are owned by the MRM GRAT 609/4, of which Mr. Dentino and Mr. Pedersen are co-trustees.
- F15The shares are owned by the Molina Marital Trust, of which Mr. Dentino and Mr. Pedersen are co-trustees.
- F16The shares are owned by Mr. Pedersen.
- F17The shares are owned by Mr. Dentino.
- F18The shares are owned by the MRM GRAT 1209/3, of which Mr. Dentino and Mr. Pedersen are co-trustees.
- F2Represents the weighted average sale price of all sales on the Transaction Date. The range of prices for the transactions was $68.05 to $69.45. The Reporting Person undertakes to provide full information about the transactions to the Commission upon request.
- F3The shares are owned by the Mary R. Molina Living Trust, of which Mr. Dentino and Mr. Pedersen are co-trustees.
- F4Represents the weighted average sale price of all sales on the Transaction Date. The range of prices for the transaction was $67.46 to $68.755. The Reporting Person undertakes to provide full information about the transactions to the Commission upon request.
- F5Represents the weighted average sale price of all sales on the Transaction Date. The range of prices for the transactions was $67.92 to $69.17. The Reporting Person undertakes to provide full information about the transactions to the Commission upon request.
- F6The shares are owned by the MRM GRAT 812/3 of which Mr. Dentino and Mr. Pedersen are co-trustees.
- F7The shares are owned by the Estate of Mary R. Molina, of which Mr. Dentino is executor.
- F8The shares are owned by MRM GRAT 610/5, of which Mr. Dentino and Mr. Pedersen are co-trustees.
- F9The shares are owned by the MRM GRAT 609/7, of which Mr. Dentino and Mr. Pedersen are co-trustees.