0001193125-13-053819.txt : 20130213 0001193125-13-053819.hdr.sgml : 20130213 20130213101314 ACCESSION NUMBER: 0001193125-13-053819 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20130213 DATE AS OF CHANGE: 20130213 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MOLINA MARITAL TRUST CENTRAL INDEX KEY: 0001246946 IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: WILLIAM DENTINO & CURTIS PEDERSON STREET 2: 555 CAPITOL MALL #1500 CITY: SACRAMENTO STATE: CA ZIP: 95814 MAIL ADDRESS: STREET 1: WILLIAM DENTINO & CURTIS PEDERSON STREET 2: 555 CAPITOL MALL #1500 CITY: SACRAMENTO STATE: CA ZIP: 95814 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: 13600169 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 SC 13G 1 d484975dsc13g.htm SCHEDULE 13G SCHEDULE 13G

 

 

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, 2012

(Date of event which requires filing of this statement)

 

 

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

¨ Rule 13d-1(b)

¨ Rule 13d-1(c)

x 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).

 

 

 

SCHEDULE 13G

 

CUSIP No. 60855R100   Page 1 of 4 Pages

 

  (1)   

Names of reporting persons

 

Molina Marital Trust

  (2)  

Check the appropriate box if a member of a group (see instructions)

(a)  ¨        (b)  x

 

  (3)  

SEC use only

 

  (4)  

Citizenship or place of organization

 

United States

Number of

shares

beneficially

owned by

each

reporting

person

with:

    (5)    

Sole voting power

 

4,090,360

   (6)   

Shared voting power

 

0

   (7)   

Sole dispositive power

 

4,090,360

   (8)   

Shared dispositive power

 

0

  (9)

  

Aggregate amount beneficially owned by each reporting person

 

4,090,360

(10)

  

Check if the aggregate amount in Row (9) excludes certain shares (see instructions)    ¨

 

(11)

  

Percent of class represented by amount in Row (9)

 

8.7%

(12)

  

Type of reporting person (see instructions)

 

IN

 

  Page 2 of 4 Pages

 

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 Marital 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).¨ Broker or dealer registered under Section 15 of the Act (15 U.S.C. 780).

 

  (b).¨ Bank as defined in Section 3(a)(6) of the Act (15 U.S.C. 78c).

 

  (c).¨ Insurance company as defined in Section 3(a)(19) of the Act (15 U.S.C. 78c).

 

  (d).¨ Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8).

 

  (e).¨ An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);

 

  (f).¨ An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F);

 

  (g).¨ A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G);

 

  (h).¨ A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

 

  (i).¨ 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).¨ Group, in accordance with Rule 13d-1(b)(1)(ii)(J).

  Page 3 of 4 Pages

 

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 ¨.

 

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

  Page 4 of 4 Pages

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, 2013

    Molina Marital Trust
    By:   /s/ William Dentino
      Name: William Dentino
      Title: Co-Trustee
    By:   /s/ Curtis Pedersen
      Name: Curtis Pedersen
      Title: Co-Trustee