0001179929-23-000102.txt : 20230803 0001179929-23-000102.hdr.sgml : 20230803 20230803184947 ACCESSION NUMBER: 0001179929-23-000102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230801 FILED AS OF DATE: 20230803 DATE AS OF CHANGE: 20230803 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: 231141712 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_1691102977.xml FORM 4 X0508 4 2023-08-01 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 2023-08-01 4 S 0 6733 302.5676 D 70740 D Common Stock 2023-08-01 4 S 0 5767 303.0051 D 64973 D Price is the volume weighted average selling price of all sales by the Reporting Person on the transaction date within a one-dollar range. Actual prices ranged from $301.89 to $302.88. The Reporting Person hereby undertakes to provide upon request of the Commission staff full information regarding the number of shares sold at each separate price. Price is the volume weighted average selling price of all sales by the Reporting Person on the transaction date within a one-dollar range. Actual prices ranged from $302.89 to $303.26. The Reporting Person hereby undertakes to provide upon request of the Commission staff full information regarding the number of shares sold at each separate price. 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 2023-08-03