-----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, A0F3Bz5bLMvVbC7tyee2I9qfbQ7qr92XIoWcoNWXw1LEzFg4wAxQpsSotL2qwVar p4ghT0ELJKwH4XiYz5rPYg== 0000950137-08-002104.txt : 20080213 0000950137-08-002104.hdr.sgml : 20080213 20080213103607 ACCESSION NUMBER: 0000950137-08-002104 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20080213 DATE AS OF CHANGE: 20080213 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-79561 FILM NUMBER: 08601452 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MOLINA SIBLINGS TRUST CENTRAL INDEX KEY: 0001246941 IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: SC 13G 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 SC 13G 1 a37809sc13g.htm SCHEDULE 13G Molina Healthcare, Inc.
 

 
 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No. __)*

MOLINA HEALTHCARE, INC.
(Name of Issuer)
Common Stock, $0.001 par value
(Title of Class of Securities)
60855R100
(CUSIP Number)
December 31, 2007
(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

     o Rule 13d-1(b)

     o Rule 13d-1(c)

     þ Rule 13d-1(d)

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 
 


 

                     
CUSIP No.
 
60855R100 
  Page  
  of   

 

           
1   NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Molina Siblings Trust
     
     
2   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

  (a)   o
  (b)   þ
     
3   SEC USE ONLY
   
   
     
4   CITIZENSHIP OR PLACE OF ORGANIZATION
   
  United States
       
  5   SOLE VOTING POWER
     
NUMBER OF   3,329,359
       
SHARES 6   SHARED VOTING POWER
BENEFICIALLY    
OWNED BY   0
       
EACH 7   SOLE DISPOSITIVE POWER
REPORTING    
PERSON   3,329,359
       
WITH: 8   SHARED DISPOSITIVE POWER
     
    0
     
9   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
  3,329,359
     
10   CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
   
  o
     
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
  11.7%
     
12   TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
   
  IN


 

                     
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Item 1(a).   Name of Issuer:
MOLINA HEALTHCARE, INC.
 
           
Item 1(b).   Address of Issuer’s Principal Executive Offices:
200 Oceangate, Suite 100,
Long Beach, CALIFORNIA 90802
 
           
Item 2(a).   Name of Persons Filing:
Molina Siblings Trust
 
           
Item 2(b).   Address of Principal Business Office or, if none, Residence:
3300 Douglas Blvd., Suite 430
Roseville, CA 95661
 
           
Item 2(c).   Citizenship:
United States
 
           
Item 2(d).   Title of Class of Securities:
Common Stock, $0.001 par value
 
           
Item 2(e).   CUSIP Number:
60855R100
 
           
Item 3.   If this statement is filed pursuant to Rules 13d-1(b) or 13d-2(b) or (c), check whether the person filing is a:
 
           
    (a).o   Broker or dealer registered under Section 15 of the Act (15 U.S.C. 780).
 
           
    (b).o   Bank as defined in Section 3(a)(6) of the Act (15 U.S.C. 78c).
 
           
    (c).o   Insurance company as defined in Section 3(a)(19) of the Act (15 U.S.C. 78c).
 
           
    (d).o   Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8).
 
           
    (e).o   An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);
 
           
    (f).o   An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F);
 
           
    (g).o   A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G);
 
           
    (h).o   A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
 
           
    (i).o   A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
 
           
    (j).o   Group, in accordance with Rule 13d-1(b)(1)(ii)(J).


 

                     
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  of   
             
Item 4.
  Ownership.        
 
           
    (a).   Amount beneficially owned:
See the response(s) to Item 9 on the attached cover page(s).
 
           
    (b).   Percent of Class:
See the response(s) to Item 11 on the attached cover page(s).
 
           
    (c).   Number of shares as to which such person has:
 
           
 
      (i).   Sole power to vote or to direct the vote: See the response(s) to Item 5 on the attached cover page(s).
 
           
 
      (ii).   Shared power to vote or to direct the vote: See the response(s) to Item 6 on the attached cover page(s).
 
           
 
      (iii).   Sole power to dispose or to direct the disposition of: See the response(s) to Item 7 on the attached cover page(s).
 
           
 
      (iv).   Shared power to dispose or to direct the disposition of: See the response(s) to Item 8 on the attached cover page(s).
 
           
Item 5.   Ownership of Five Percent or Less of a Class.
If this statement is being filed to report the fact that as of the date hereof the reporting persons have ceased to be the beneficial owners of more than five percent of the class of securities, check the following o.
 
           
Item 6.   Ownership of More than Five Percent on Behalf of Another Person.

Not Applicable
 
           
Item 7.   Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company.

Not Applicable
 
           
Item 8.   Identification and Classification of Members of the Group.

Not Applicable
 
           
Item 9.   Notice of Dissolution of Group.

Not Applicable
 
           
Item 10.   Certification.

Not Applicable


 

                     
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  of   
SIGNATURE
     After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Date: February 13, 2008
         
  Molina Siblings Trust
 
 
  By:   /s/ John C. Molina    
    Name:   John C. Molina   
    Title:   Trustee   
 
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