rrd19162_21967.html

-----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, BO3nk2DiV2JID4/2kgcf3vMKmV+TcQGVeeLkFGDntQcTAXw+DhEYjeuUadmMarWY mV+YCx0UnUMeG2AhFwMmwQ== 0001181431-04-000733.txt : 20040105 0001181431-04-000733.hdr.sgml : 20040105 20040105160543 ACCESSION NUMBER: 0001181431-04-000733 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KULICH ROMAN CENTRAL INDEX KEY: 0001246727 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31719 FILM NUMBER: 04505002 BUSINESS ADDRESS: STREET 1: C/O MOLINA HEALTHCARE OF MICHIGAN STREET 2: 100 WEST BIG BEAVER, SUITE 600 CITY: TROY STATE: MI ZIP: 48084 MAIL ADDRESS: STREET 1: C/O MOLINA HEALTHCARE OF MICHIGAN STREET 2: 100 WEST BIG BEAVER, SUITE 600 CITY: TROY STATE: MI ZIP: 48084 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 rrd27358.xml X0201 42003-12-310 0001179929 MOLINA HEALTHCARE INC MOH 0001246727 KULICH ROMAN C/O MOLINA HEALTHCARE, INC. ONE GOLDEN SHORE DRIVE LONG BEACH CA 90802 0100President & CEO of SubsidiaryCommon Stock2003-12-314J0115414.88A1154DStock Option (Right to Buy)4.502011-10-29Common Stock4444044440DThe shares were acquired under the Molina Healthcare, Inc. 2002 Employee Stock Purchase Plan.All options became fully exercisable upon the closing of the initial public offering of Molina Healthcare, Inc. Prior thereto, options vested as to (i) 14,665 shares on 04/07/2003; (ii) 14,665 shares on 04/07/2004; and (iii) 15,110 shares on 04/07/2005.Roman Kulich, by Nicholas Arbuckle, Attorney-In-Fact pursuant to Exhibit 24 hereto2004-01-05 EX-24. 3 rrd19162_21967.htm LIMITED POWER OF ATTORNEY FOR SECTION 16(A) FILINGS rrd19162_21967.html

Exhibit 24

LIMITED POWER OF ATTORNEY
FOR
SECTION 16(a) FILINGS

	Know all by these presents, that the undersigned hereby constitutes and appoints
Nicholas Arbuckle and Karen Calhoun, 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 28th day of July, 2003.



	/s/ Roman Kulich
	Signature

	Roman Kulich
	Printed Name

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