0001179929-23-000092.txt : 20230703
0001179929-23-000092.hdr.sgml : 20230703
20230703170452
ACCESSION NUMBER: 0001179929-23-000092
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230630
FILED AS OF DATE: 20230703
DATE AS OF CHANGE: 20230703
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: 231065861
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
FORMER COMPANY:
FORMER CONFORMED NAME: MOLINA HEALTHCARE INC
DATE OF NAME CHANGE: 20020812
4
1
wk-form4_1688418281.xml
FORM 4
X0407
4
2023-06-30
0
0001179929
MOLINA HEALTHCARE, INC.
MOH
0001555603
Barlow Jeff D.
2180 HARVARD STREET
SUITE 400
SACRAMENTO
CA
95815
0
1
0
0
Chief Legal Officer
0
Common Stock
2023-06-30
4
A
0
75
301.24
A
77473
D
The shares were acquired under the Molina Healthcare, Inc. 2019 Employee Stock Purchase Plan (the "ESPP").
Represents the closing price of Issuer's common stock on June 30, 2023. The purchase price is based on the stock's lower market price as of the two following dates: (1) January 1, 2023, the first day of the ESPP offering period, and (2) June 30, 2023, the last day of the ESPP offering period.
Shares shall vest as follows: 4,437 shares on March 1, 2024; 2,936 shares on March 1, 2025; and 1,761 shares on March 1, 2026. The remaining shares are vested.
Jeff D. Barlow
2023-07-03