0001437749-21-017783.txt : 20210728 0001437749-21-017783.hdr.sgml : 20210728 20210728173713 ACCESSION NUMBER: 0001437749-21-017783 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210720 FILED AS OF DATE: 20210728 DATE AS OF CHANGE: 20210728 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bush Jonathan B CENTRAL INDEX KEY: 0001875191 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34221 FILM NUMBER: 211123919 MAIL ADDRESS: STREET 1: 6900 LAYTON AVENUE STREET 2: 12TH FLOOR CITY: DENVER STATE: CO ZIP: 80237 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ModivCare Inc CENTRAL INDEX KEY: 0001220754 STANDARD INDUSTRIAL CLASSIFICATION: TRANSPORTATION SERVICES [4700] IRS NUMBER: 860845127 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4700 SOUTH SYRACUSE STREET STREET 2: 4TH FLOOR CITY: DENVER STATE: CO ZIP: 80237 BUSINESS PHONE: 303-728-7003 MAIL ADDRESS: STREET 1: 4700 SOUTH SYRACUSE STREET STREET 2: 4TH FLOOR CITY: DENVER STATE: CO ZIP: 80237 FORMER COMPANY: FORMER CONFORMED NAME: PROVIDENCE SERVICE CORP DATE OF NAME CHANGE: 20030226 3 1 rdgdoc.xml FORM 3 X0206 3 2021-07-20 0 0001220754 ModivCare Inc MODV 0001875191 Bush Jonathan B 6900 LAYTON AVENUE 12TH FLOOR DENVER CO 80237 1 SVP, GC and Secretary Common Stock 1247 D Employee Stock Option (Right to Buy) 69.3200 2024-11-11 Common Stock 2056 D Employee Stock Option (Right to Buy) 179.2400 2026-02-10 Common Stock 453 D Employee Stock Option (Right to Buy) 163.4200 2026-07-19 Common Stock 718 D Composed of an aggregate of (i) 638 restricted stock awards that vest in two equal installments on March 15, 2022 and March 15, 2023, (ii) 388 restricted stock units that vest in three substantially equal installments, as follows: (a) 129 of which vest on February 10, 2022; (b) 130 of which vest on February 10, 2023; and (c) 129 of which vest on February 10, 2024, and (iii) 221 restricted stock units that vest in three substantially equal installments, as follows: (a) 74 of which vest on July 19, 2022; (b) 73 of which vest on July 19, 2023; and (c) 74 of which vest on July 19, 2024, in each case subject to the reporting person's continued employment. This option vests and becomes fully exercisable with respect to the underlying shares as follows: (i) option vests with respect to 1,028 shares on March 15, 2022; and (ii) option vests with respect to remaining 1,028 shares on March 15, 2023, in each case subject to the reporting person's continued employment. This option vests and becomes fully exercisable with respect to the underlying shares in three equal annual installments beginning on February 10, 2022, in each case subject to the reporting person's continued employment. This option vests and becomes fully exercisable with respect to the underlying shares as follows: (i) option vests with respect to 239 shares on July 19, 2022; (ii) option vests with respect to 240 shares on July 19, 2023; and (iii) option vests with respect to 239 shares on July 19, 2024, in each case subject to the reporting person's continued employment. Exhibit Index: Exhibit 24 - Power of Attorney /s/ Jonathan B. Bush 2021-07-28 EX-24 2 modv20210720_sec16.htm modv20210720_sec16.htm

Exhibit 24

 

 

POWER OF ATTORNEY

 

Know all by these presents, that the undersigned hereby constitutes and appoints L. Heath Sampson as his true and lawful attorney-in-fact to:

 

 

(1)

execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer or director or both of ModivCare Inc. (the “Company”), Forms 3, 4 and 5 (and any amendments thereto), as a result of the undersigned's ownership of or transactions in the Company’s securities, in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) and the rules thereunder;

 

 

(2)

do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete the execution of any such Form 3, 4 or 5 (and any amendments thereto), and the timely filing of such form with the Securities and Exchange Commission and any securities exchange or similar authority; and

 

 

(3)

take any other action in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by or for, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in his or her discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act required, necessary and 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 his or her 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 authority under this Power of Attorney shall continue until the undersigned is no longer required to file Forms 3, 4 and 5 with regard to the undersigned's ownership of or transactions in securities of the Company, unless earlier revoked by the undersigned in writing. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request and on behalf of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with, or any liability for the failure to comply with, Section 16 of the Exchange Act.

 

The undersigned hereby revokes any and all powers of attorney executed prior to the date hereof which purport to appoint attorneys-in-fact to act on the undersigned’s behalf in connection with the execution and filing of Forms 3, 4 and 5 with regard to the securities of the Company.

 

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 20th day of July, 2021.

 

 

  /s/ Jonathan B. Bush  
  Signature  
     
  Jonathan Bush  
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