0001179929-19-000110.txt : 20190701 0001179929-19-000110.hdr.sgml : 20190701 20190701191814 ACCESSION NUMBER: 0001179929-19-000110 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190628 FILED AS OF DATE: 20190701 DATE AS OF CHANGE: 20190701 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Barlow Jeff D. CENTRAL INDEX KEY: 0001555603 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31719 FILM NUMBER: 19934769 MAIL ADDRESS: STREET 1: 300 UNIVERSITY AVENUE, SUITE 100 CITY: SACRAMENTO STATE: CA ZIP: 95825 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 wf-form4_156202307936345.xml FORM 4 X0306 4 2019-06-28 0 0001179929 MOLINA HEALTHCARE INC MOH 0001555603 Barlow Jeff D. 2180 HARVARD STREET SUITE 400 SACRAMENTO CA 95815 0 1 0 0 Chief Legal Officer Common Stock 2019-06-28 4 A 0 215 116.22 A 56427 D The shares were acquired under the Molina Healthcare, Inc. 2019 Employee Stock Purchase Plan (the "ESPP"). Represents the closing price of Issuer's common stock on December 31, 2018. The purchase price is based on the stock's lower market price as of the two following dates: (1) January 1, 2019, the first day of the ESPP offering period, and (2) June 28, 2019, the last trading day of the ESPP offering period. The shares vest as follows: (i) 5,780 shares vest in one-third increments on each of March 1, 2020, March 1, 2021, and March 1, 2022; (ii) 7,419 shares are subject to vesting on each of March 1, 2020, and March 1, 2021; (iii) an additional 3,158 shares are subject to vesting on March 1, 2020; the remainder of the shares are vested. Jeff D. Barlow 2019-07-01