0001209191-17-019347.txt : 20170308 0001209191-17-019347.hdr.sgml : 20170308 20170308173024 ACCESSION NUMBER: 0001209191-17-019347 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170306 FILED AS OF DATE: 20170308 DATE AS OF CHANGE: 20170308 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOLINA JOHN C CENTRAL INDEX KEY: 0001246837 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31719 FILM NUMBER: 17676090 MAIL ADDRESS: STREET 1: C/O MOLINA HEALTHCARE, INC. STREET 2: ONE GOLDEN SHORE DRIVE CITY: LONG BEACH STATE: CA ZIP: 90802 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-03-06 0 0001179929 MOLINA HEALTHCARE INC MOH 0001246837 MOLINA JOHN C 300 UNIVERSITY AVE., SUITE 100 SACRAMENTO CA 95825 1 1 0 0 CFO Common Stock 2017-03-06 4 S 0 20341 49.1942 D 622074 I Trustee of Family Trust Common Stock 2017-03-07 4 F 0 3444 48.52 D 102368 D Common Stock 2017-03-07 4 F 0 1722 48.52 D 99068 D Common Stock 2017-03-07 4 F 0 3444 48.52 D 92468 D Common Stock 600714 D Common Stock 11154 D Sale pursuant to the Rule 10b5-1 Trading Plan of the John C. Molina Separate Property Trust. Represents the weighted average sale price of all sales on the Transaction Date. The range of prices for the transactions was $48.77 to $49.62. The Reporting Person undertakes to provide full information about the transactions to the Commission upon request. The shares are owned by the John C. Molina Separate Property Trust, of which Mr. Molina is the trustee and beneficiary. The shares were applied to the payment of withholding taxes arising in connection with the vesting of 6,600 shares on March 7, 2017, based upon the Company's 2016 STARS rating achievement. Represents the closing price of the Issuer's common stock on March 7, 2017. Excludes 3,156 shares net of tax withholding now shown as fully vested. The shares were applied to the payment of withholding taxes arising in connection with the vesting of 3,300 shares on March 7, 2017, upon the Company's achievement of a certain business development target (Board approved acquisition). Excludes 1,578 shares net of tax withholding now shown as fully vested. The shares were applied to the payment of withholding taxes arising in connection with the vesting of 6,600 shares on March 7, 2017. 6,600 shares shall vest based on the Company's 2017 after tax profit margin; 6,600 shares shall vest based on the Company's 2018 after tax profit margin; 6,600 shares shall vest based upon the Company's 2017 STARS ratings; 13,200 shares shall vest upon the Company's achievement of certain business development targets; 6,600 shares shall vest on each of March 7, 2018, and March 7, 2019. 20,041 shares shall vest in one-third increments over three years, on each of March 1, 2018, March 1, 2019, and March 1, 2020. 4,034 shares vest based on the Company's 2017 annual premium revenue achievement; 4,034 shares vest based on the Company's 2017 net profit margin achievement; 4,034 shares vest based on pre-tax income in fiscal year 2017; 8,068 shares shall vest in one-half increments over two years, on each of April 1, 2017, and April 1, 2018. See 2015 Definitive Proxy Statement. All of these shares are fully vested. Includes 7,890 shares vested on March 7, 2017 net of shares withheld for payment of taxes. The shares are owned by Mr. Molina and his spouse as community property. John C. Molina, by Karen I. Calhoun, Attorney-in-Fact 2017-03-08