Statement of Changes in Beneficial Ownership (4)
December 13 2017 - 6:55PM
Edgar (US Regulatory)
FORM 4
[
X
]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
MOLINA J MARIO MD
|
2. Issuer Name
and
Ticker or Trading Symbol
MOLINA HEALTHCARE INC
[
MOH
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
_____ Officer (give title below)
__
X
__ Other (specify below)
Former Director
|
(Last)
(First)
(Middle)
15302 CENTRAL AVENUE
|
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/11/2017
|
(Street)
CHINO, CA 91710
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security
(Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code
(Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
Common Stock
|
12/11/2017
|
|
S
(1)
|
|
483880
|
D
|
$73.7133
(2)
|
1039395
|
I
|
Trust
(3)
|
Common Stock
|
12/12/2017
|
|
S
(1)
|
|
101612
|
D
|
$74.1379
(4)
|
937783
|
I
|
Trust
(3)
|
Common Stock
|
12/11/2017
|
|
S
(1)
|
|
53240
|
D
|
$74.0923
(5)
|
61125
|
I
|
Trust
(6)
|
Common Stock
|
|
|
|
|
|
|
|
63799
|
I
|
Trust
(7)
|
Common Stock
|
|
|
|
|
|
|
|
65282
|
I
|
Trust
(8)
|
Common Stock
|
|
|
|
|
|
|
|
151630
|
I
|
Trust
(9)
|
Common Stock
|
|
|
|
|
|
|
|
106000
|
I
|
Foundation
(10)
|
Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 3)
|
2. Conversion or Exercise Price of Derivative Security
|
3. Trans. Date
|
3A. Deemed Execution Date, if any
|
4. Trans. Code
(Instr. 8)
|
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
|
6. Date Exercisable and Expiration Date
|
7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
|
8. Price of Derivative Security
(Instr. 5)
|
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
|
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
|
11. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
(A)
|
(D)
|
Date Exercisable
|
Expiration Date
|
Title
|
Amount or Number of Shares
|
Explanation of Responses:
|
(1)
|
Sale pursuant to the Rule 10b5-1 Trading Plan of Dr. Molina.
|
(2)
|
Represents the weighted average sale price of all sales on the Transaction Date. The range of prices for the transactions was $73.50 to $73.89. The Reporting Person undertakes to provide full information about the transactions to the Commission upon request.
|
(3)
|
The shares are owned by the J. Marion Molina Separate Property Trust, of which Dr. Molina is sole trustee.
|
(4)
|
Represents the weighted average sale price of all sales on the Transaction Date. The range of prices for the transactions was $73.48 to $75.53. The Reporting Person undertakes to provide full information about the transactions to the Commission upon request.
|
(5)
|
Represents the weighted average sale price of all sales on the Transaction Date. The range of prices for the transactions was $73.50 to $74.45. The Reporting Person undertakes to provide full information about the transactions to the Commission upon request.
|
(6)
|
The shares are held by the M/T Molina Family Trust, of which Dr. Molina and his spouse are trustees and beneficiaries.
|
(7)
|
The shares are owned by Dr. Molina's spouse, Therese A. Molina, as trustee of the MM GRAT 915/3.
|
(8)
|
The shares are owned by JMB GRAT 1209/4 for the benefit of Josephine M. Battiste, of which Dr. Molina is sole trustee.
|
(9)
|
The shares are owned by JMM GRAT 716/3, of which Dr. Molina is the beneficiary.
|
(10)
|
The shares are owned by the Molina Family Foundation, of which Dr. Molina is president.
|
Remarks:
Dr. Molina resigned from the Issuer's board of directors on December 13, 2017.
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
Director
|
10% Owner
|
Officer
|
Other
|
MOLINA J MARIO MD
15302 CENTRAL AVENUE
CHINO, CA 91710
|
|
|
|
Former Director
|
Signatures
|
/s/ Joseph M. Molina, M.D., by Karen Calhoun, Attorney-in-Fact
|
|
12/13/2017
|
**
Signature of Reporting Person
|
Date
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
|
*
|
If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
|
**
|
Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
|
Note:
|
File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
|
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
|
Molina Healthcare (NYSE:MOH)
Historical Stock Chart
From Jun 2024 to Jul 2024
Molina Healthcare (NYSE:MOH)
Historical Stock Chart
From Jul 2023 to Jul 2024