0001179929-22-000103.txt : 20220701
0001179929-22-000103.hdr.sgml : 20220701
20220701193954
ACCESSION NUMBER: 0001179929-22-000103
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20220701
FILED AS OF DATE: 20220701
DATE AS OF CHANGE: 20220701
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ZORETIC RICHARD C
CENTRAL INDEX KEY: 0001263714
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31719
FILM NUMBER: 221062839
MAIL ADDRESS:
STREET 1: C/O AMERIGROUP CORP
STREET 2: 4425 CORPORATION LANE
CITY: VIRGINIA BEACH
STATE: VA
ZIP: 23462
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
FORMER COMPANY:
FORMER CONFORMED NAME: MOLINA HEALTHCARE INC
DATE OF NAME CHANGE: 20020812
4
1
wf-form4_165671877809281.xml
FORM 4
X0306
4
2022-07-01
0
0001179929
MOLINA HEALTHCARE, INC.
MOH
0001263714
ZORETIC RICHARD C
2180 HARVARD STREET
SUITE 400
SACRAMENTO
CA
95815
1
0
0
0
Common Stock
2022-07-01
4
A
0
194
282.90
A
5280
I
Held by trust
Grant of stock under the Issuer's 2019 Equity Incentive Plan in connection with the Reporting Person's services as a Director.
The aggregate dollar value of the annual equity award to each Director was set at $220,000, with one quarter, or $55,000, to be granted on the first day of each quarter, based on the closing price of the Issuer's common stock on such day. The closing price of the Issuer's common stock on July 1, 2022, the first day of the quarter, was $282.90, which resulted in a grant of 194 shares.
Represents the closing price of the Issuer's common stock on July 1, 2022.
All shares held by the Richard Charles Zoretic Revocable Living Trust.
Jeff D. Barlow, by power of attorney for Richard C. Zoretic
2022-07-01
EX-24
2
lpoazoretic.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 14th day of May 2018.
/s/ Richard Zoretic
Signature
Richard Zoretic
Printed Name
Exhibit 24