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