0001209191-17-047610.txt : 20170804
0001209191-17-047610.hdr.sgml : 20170804
20170804080726
ACCESSION NUMBER: 0001209191-17-047610
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170802
FILED AS OF DATE: 20170804
DATE AS OF CHANGE: 20170804
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MOLINA J MARIO MD
CENTRAL INDEX KEY: 0001246792
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31719
FILM NUMBER: 171006926
MAIL ADDRESS:
STREET 1: C/O MOLINA HEALTHCARE, INC.
STREET 2: ONE GOLDEN SHORE DRIVE
CITY: LONG BEACH
STATE: CA
ZIP: 90802
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MOLINA HEALTHCARE INC
CENTRAL INDEX KEY: 0001179929
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 134204626
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE, SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 5624353666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE, SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-08-02
0
0001179929
MOLINA HEALTHCARE INC
MOH
0001246792
MOLINA J MARIO MD
15302 CENTRAL AVENUE
CHINO
CA
91710
1
0
0
0
Common Stock
2017-08-02
4
S
0
15000
66.6654
D
158565
I
Trust
Common Stock
419184
I
Trust
Common Stock
122956
I
Trust
Common Stock
18920
I
Trust
Common Stock
18920
I
Trust
Common Stock
18920
I
Trust
Common Stock
19280
I
Trust
Common Stock
42126
I
Trust
Common Stock
42126
I
Trust
Common Stock
42124
I
Trust
Common Stock
28536
I
Trust
Common Stock
65282
I
Trust
Common Stock
83087
I
Trust
Common Stock
83087
I
Trust
Common Stock
200000
I
Trust
Sale pursuant to the Rule 10b5-1 Trading Plan of Dr. Molina.
Represents the weighted average sale price of all sales on the Transaction Date. The range of prices for the transactions was $66.32 to $67.64. The Reporting Person undertakes to provide full information about the transactions to the Commission upon request.
The shares are held by the M/T Molina Family Trust, of which Dr. Molina and his spouse are trustees and beneficiaries.
The shares are owned by the J. Marion Molina Separate Property Trust, of which Dr. Molina is sole trustee.
The shares are owned by Dr. Molina's spouse, Therese A. Molina, as trustee of the MM GRAT 915/3.
The shares are owned by Dr. Molina, as trustee of the David M.F. Molina Trust No. 2 dated 5/14/2003.
The shares are owned by Dr. Molina, as trustee of the Mary Clare F. Molina Trust No. 2 dated 5/14/2003.
The shares are owned by Dr. Molina, as trustee of the Colleen A.F. Fox Trust No. 2 dated 5/14/2003.
The shares are owned by Dr. Molina, as trustee of the Carley A.F. Fox Trust No. 2 dated 5/14/2003.
The 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.
The 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.
The 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.
The shares are owned by Dr. Molina's spouse, Therese A. Molina, Trustee of the Remainder Trust for Carley F. Fox dated 12/3/2008.
The shares are owned by JMB GRAT 1209/4 for the benefit of Josephine M. Battiste, of which Dr. Molina is sole trustee.
The shares are owned by Dr. Molina, as trustee of the Katherine Rose Battiste Trust IV.
The shares are owned by Dr. Molina, as trustee of the Julius Avery Battiste Trust IV.
The shares are owned by JMM GRAT 716/3, of which Dr. Molina is the beneficiary.
/s/ Joseph M. Molina, M.D., by Karen Calhoun, Attorney-in-Fact
2017-08-04