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