SEC Form 4 · accession 0001209191-17-054738
MOLINA HEALTHCARE, INC. · MOH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John C Molina
Director
Period of report
Oct 1, 2017
Accepted (ET)
Oct 2, 2017 · 6:31 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 | Oct 1, 2017 | A | 800 | $68.76 | A | 541,522 | D | |
| Common StockF4 | holding | — | — | — | 576,350 | I | Trustee of Family Trust | |
| Common StockF5 | holding | — | — | — | 11,154 | D |
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.
- 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 owned by the John C. Molina Separate Property Trust, of which Mr. Molina is the trustee and beneficiary.
- F5The shares are owned by Mr. Molina and his spouse as community property.