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