-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NxVSltlPw2R+PJZjRo5omvo6L3e2mJfw2niNU6PEvri5WSqyl89sli9Fr7F+lQg7 fycoj1++ewgdzwL8liEPow== 0001181431-04-043345.txt : 20040909 0001181431-04-043345.hdr.sgml : 20040909 20040909151511 ACCESSION NUMBER: 0001181431-04-043345 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040907 FILED AS OF DATE: 20040909 DATE AS OF CHANGE: 20040909 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ERICKSON DAVID W CENTRAL INDEX KEY: 0001246741 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31719 FILM NUMBER: 041022765 BUSINESS ADDRESS: STREET 1: C/O MOLINA HEALTHCARE, INC. STREET 2: ONE GOLDEN SHORE DRIVE CITY: LONG BEACH STATE: CA ZIP: 90802 MAIL ADDRESS: STREET 1: C/O MOLINA HEALTHCARE, INC. STREET 2: ONE GOLDEN SHORE DRIVE CITY: LONG BEACH STATE: CA ZIP: 90802 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: ONE GOLDEN SHORE DRIVE CITY: LONG BEACH STATE: CA ZIP: 90802 BUSINESS PHONE: 5624353666 MAIL ADDRESS: STREET 1: ONE GOLDEN SHORE DRIVE CITY: LONG BEACH STATE: CA ZIP: 90802 4 1 rrd52402.xml DAVID ERICKSON FORM 4 (9-9-04) X0202 4 2004-09-07 0 0001179929 MOLINA HEALTHCARE INC MOH 0001246741 ERICKSON DAVID W C/O MOLINA HEALTHCARE, INC. ONE GOLDEN SHORE DRIVE LONG BEACH CA 90802 0 1 0 0 V.P. Information Services; CIO Common Stock 2004-09-07 4 M 0 7500 2 A 7500 D Common Stock 2004-09-07 4 S 0 7500 34.9192 D 0 D Stock Option (right to buy) 2 2004-09-07 4 M 0 7500 0 D 2009-09-21 Common Stock 7500 65020 D Stock Option (right to buy) 25.33 2014-02-10 Common Stock 15000 15000 D Stock Option (right to buy) 4.50 2010-12-27 Common Stock 7320 7320 D The options became fully exercisable as of 5/1/2002. The options vest one-third on each of 2/10/2005, 2/10/2006, and 2/10/2007. The options became fully exercisable upon the closing of the initial public offering of the issuer. David W. Erickson, by Jeff D. Barlow, Attorney-in-Fact. 2004-09-09 EX-24.1 2 rrd43469_49023.htm POWER OF ATTORNEY rrd43469_49023.html 


        LIMITED POWER OF ATTORNEY FOR SECTION 16(a) FILINGS

Know all by these presents, that the undersigned hereby constitutes
and appoints Mark L. Andrews and Jeff D. Barlow, 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 26th day of April, 2004.


/s/  David W. Erickson
Signature

David W. Erickson
Printed Name



Exhibit 24.1
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