0001179929-18-000161.txt : 20180828 0001179929-18-000161.hdr.sgml : 20180828 20180828190707 ACCESSION NUMBER: 0001179929-18-000161 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180827 FILED AS OF DATE: 20180828 DATE AS OF CHANGE: 20180828 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Barlow Jeff D. CENTRAL INDEX KEY: 0001555603 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31719 FILM NUMBER: 181042747 MAIL ADDRESS: STREET 1: 300 UNIVERSITY AVENUE, 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_153549761100948.xml FORM 4 X0306 4 2018-08-27 0 0001179929 MOLINA HEALTHCARE INC MOH 0001555603 Barlow Jeff D. 300 UNIVERSITY AVENUE SUITE 100 SACRAMENTO CA 95825 0 1 0 0 Chief Legal Officer Common Stock 2018-08-27 4 S 0 3823 139.2176 D 52395 D Represents the weighted average selling price per share with a selling price range between $139.18 and $139.275. The shares vest as follows: (i) 22,259 shares are subject to vesting in one-third increments on each of March 1, 2019, March 1, 2020, and March 1, 2021; (ii) an additional 3,158 shares are subject to vesting on each of March 1, 2019 and March 1, 2020; (iii) 3,132 shares are subject to vesting based on the Company's 2018 after tax profit margin; (iv) 3,132 shares are subject to vesting on March 7, 2019; the remainder of the shares are vested. Jeff D. Barlow 2018-08-28