0001179929-22-000042.txt : 20220303 0001179929-22-000042.hdr.sgml : 20220303 20220303203128 ACCESSION NUMBER: 0001179929-22-000042 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20220301 FILED AS OF DATE: 20220303 DATE AS OF CHANGE: 20220303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Russo Marc CENTRAL INDEX KEY: 0001504606 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31719 FILM NUMBER: 22711673 MAIL ADDRESS: STREET 1: C/O WELLCARE HEALTH PLANS, INC. STREET 2: 8725 HENDERSON ROAD, REN. 1 CITY: TAMPA STATE: FL ZIP: 33634 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_164635747283969.xml FORM 4 X0306 4 2022-03-01 0 0001179929 MOLINA HEALTHCARE, INC. MOH 0001504606 Russo Marc 2180 HARVARD STREET SUITE 400 SACRAMENTO CA 95815 0 1 0 0 EVP, Health Plans Common Stock 2022-03-01 4 A 0 3527 311.88 A 19818 D Common Stock 2022-03-01 4 F 0 626 311.88 D 19192 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, 2022. The shares were applied to the payment of withholding taxes arising in connection with the vesting of 1,350 shares on March 1, 2022. Shares shall vest as follows: the 3,527 newly granted shares vest in one-third increments on each of March 1, 2023, March 1, 2024, and March 1, 2025. Additional shares shall vest as follows: 1,350 shares on each of March 1, 2023, and March 1, 2024; 4,702 shares on April 1, 2022 and 4,701 shares on April 1, 2023. The remainder of the shares are vested. Jeff D. Barlow, by power of attorney for Marc Russo 2022-03-03 EX-24 2 limitedpowerofattorneyfors.txt LIMITED POWER OF ATTORNEY LIMITED POWER OF ATTORNEY FOR SECTION 16(a) FILINGS Know all by these presents, that the undersigned hereby constitutes and appoints Jeff D. Barlow and Codruta Boggs, and each acting singly, the undersigned's true and lawful attorney-in-fact to: 1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer, director and/or stockholder of Molina Healthcare, Inc. (the "Company"), Forms 3, 4, and 5 and amendments thereto in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder; and 2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5 or amendment thereto and timely file such form with the United States Securities and Exchange Commission (the "SEC") and any stock exchange or similar authority. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transaction in securities of the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. This Power of Attorney may be filed with the SEC as a confirming statement of the authority granted herein. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 23rd day of March 2020. /s/ Marc Russo Signature Marc Russo Printed Name Exhibit 24 {00432277;1}