0001209191-17-059619.txt : 20171107 0001209191-17-059619.hdr.sgml : 20171107 20171107165130 ACCESSION NUMBER: 0001209191-17-059619 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171103 FILED AS OF DATE: 20171107 DATE AS OF CHANGE: 20171107 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: 171184050 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 2017-11-03 0 0001179929 MOLINA HEALTHCARE INC MOH 0001246792 MOLINA J MARIO MD 15302 CENTRAL AVENUE CHINO CA 91710 1 0 0 0 Common Stock 2017-11-03 4 S 0 15000 75.8241 D 114365 I Trust Common Stock 2017-11-07 5 J 0 E 818072 0.00 A 1285626 I Trust Common Stock 122956 I Trust Common Stock 65282 I Trust Common Stock 151630 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 $75.00 to $76.95. 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. Distribution to beneficiary without consideration from the Molina Martial Trust. 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 JMB GRAT 1209/4 for the benefit of Josephine M. Battiste, of which Dr. Molina is sole trustee. 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 2017-11-07