SEC Form 4 · accession 0001209191-17-054737
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
Oct 1, 2017
Accepted (ET)
Oct 2, 2017 · 6:30 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 | Oct 1, 2017 | A | 800 | $68.76 | A | 144,365 | I | Trust |
| Common StockF5,F6 | holding | — | — | — | 467,554 | I | Trust | |
| Common StockF7 | holding | — | — | — | 122,956 | I | Trust | |
| Common StockF8 | holding | — | — | — | 65,282 | I | Trust | |
| Common StockF9,F10 | holding | — | — | — | 151,630 | I | Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Grant of restricted stock subject to vesting under the Issuer's 2011 Equity Incentive Plan.
- F10The 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 October 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 September 29, 2017, of $68.76. Thus, the grant this quarter for services as a Director is for 800 shares of the Issuer's common stock.
- F3Represents the closing price of the Issuer's common stock on September 29, 2017.
- F4The shares are held by the M/T Molina Family Trust, of which Dr. Molina and his spouse are trustees and beneficiaries.
- F5Includes 48,370 shares previously transferred from JMM GRAT 715/3 in a non-reportable transaction.
- F6The shares are owned by the J. Marion Molina Separate Property Trust, of which Dr. Molina is sole trustee.
- F7The shares are owned by Dr. Molina's spouse, Therese A. Molina, as trustee of the MM GRAT 915/3.
- F8The shares are owned by JMB GRAT 1209/4 for the benefit of Josephine M. Battiste, of which Dr. Molina is sole trustee.
- F9Excludes 48,370 shares previously transferred to the J. Marion Molina Separate Property Trust in a non-reportable transaction.