0001179929-21-000041.txt : 20210303 0001179929-21-000041.hdr.sgml : 20210303 20210303204130 ACCESSION NUMBER: 0001179929-21-000041 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210301 FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210303 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: 21712126 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 FORMER COMPANY: FORMER CONFORMED NAME: MOLINA HEALTHCARE INC DATE OF NAME CHANGE: 20020812 4 1 wf-form4_161482207101681.xml FORM 4 X0306 4 2021-03-01 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 2021-03-01 4 A 0 4500 222.24 A 74774 D Common Stock 2021-03-01 4 F 0 7300 222.24 D 67474 D Common Stock 2021-03-01 4 A 0 25042 222.24 A 92516 D Common Stock 2021-03-01 4 F 0 12354 222.24 D 80162 D Grant of restricted stock under the Issuer's 2019 Equity Incentive Plan. Represents the closing price of the Issuer's common stock on March 1, 2021. The shares were applied to the payment of withholding taxes arising in connection with the vesting of 14,718 shares on March 1, 2021. Shares issued in settlement of performance stock units granted in 2018 which vested at the 200% max level based on the achievement of cumulative net income metric over the three fiscal years of 2018, 2019, and 2020. Shares were applied to payment of withholding taxes in connection with vesting of the above-mentioned performance stock units. Shares shall vest as follows: the 4,500 newly granted shares vest in one-third increments on each of March 1, 2022, March 1, 2023, March 1, 2024. Additional shares shall vest as follows: 7,298 shares on March 1, 2022; and 5,372 shares on March 1, 2023. The remaining shares are vested. Jeff D. Barlow 2021-03-03