0001179929-18-000139.txt : 20180703
0001179929-18-000139.hdr.sgml : 20180703
20180703190512
ACCESSION NUMBER: 0001179929-18-000139
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20180630
FILED AS OF DATE: 20180703
DATE AS OF CHANGE: 20180703
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gooch Harold
CENTRAL INDEX KEY: 0001734861
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31719
FILM NUMBER: 18939055
MAIL ADDRESS:
STREET 1: 300 UNIVERSITY AVENUE
STREET 2: SUITE 100
CITY: SACRAMENTO
STATE: CA
ZIP: 95825
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
4
1
wf-form4_153065909535132.xml
FORM 4
X0306
4
2018-06-30
0
0001179929
MOLINA HEALTHCARE INC
MOH
0001734861
Gooch Harold
300 UNIVERSITY AVENUE
SUITE 100
SACRAMENTO
CA
95825
0
0
0
1
National Medical Director
Common Stock
2018-06-30
4
A
0
326
76.68
A
7063
D
The shares were acquired under the Molina Healthcare, Inc. 2011 Employee Stock Purchase Plan (the "ESPP").
Represents the opening price of Issuer's common stock on January 2, 2018, the first trading day of the ESPP offering period. The purchase price is based on the stock's lower market price as of the two following dates: (1) January 1, 2018, the first day of the ESPP offering period, and (2) June 30, 2018, the last day of the ESPP offering period.
870 shares are subject to vesting in one-quarter increments over four years on each of March 1, 2019, March 1, 2020, March 1, 2021 and March 1, 2022. The remainder of the shares are vested.
Jeff D. Barlow, by power of attorney for Harold Gooch
2018-07-03
EX-24
2
limitedpowerofattorneyfors.txt
LIMITED POWER OF ATTORNEY
LIMITED POWER OF ATTORNEY FOR SECTION 16(a) FILINGS
Know all by these presents that the undersigned hereby constitutes and
appoints Jeff D. Barlow and Codruta Boggs, and each acting singly, the
undersigned's true and lawful attorney-in-fact to:
1) execute for and on behalf of the undersigned, in the undersigned's
capacity as an officer, director and/or stockholder of Molina
Healthcare, Inc. (the "Company"), Forms 3, 4, and 5 and amendments
thereto in accordance with Section 16(a) of the Securities Exchange Act
of 1934 and the rules thereunder; and
2) do and perform any and all acts for and on behalf of the undersigned
which may be necessary or desirable to complete and execute any such
Form 3, 4, or 5 or amendments thereto and timely file such form with the
United States Securities and Exchange Commission (the "SEC") and any
stock exchange or similar authority.
The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or 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 such attorney-in-fact's 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
undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not
assuming, nor is the Company assuming, any of the undersigned's
responsibilities to comply with Section 16 of the Securities Exchange
Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect
to the undersigned's holdings of and transaction in securities of the
Company, unless earlier revoked by the undersigned in a signed writing
delivered to the foregoing attorneys-in-fact. This Power of Attorney
may be filed with the SEC as a confirming statement of the
authority granted herein.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 9th day of March 2018.
/s/ Harold Gooch
Signature
Harold Gooch
Printed Name
Exhibit 24