0001179929-24-000058.txt : 20240305 0001179929-24-000058.hdr.sgml : 20240305 20240305204126 ACCESSION NUMBER: 0001179929-24-000058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240301 FILED AS OF DATE: 20240305 DATE AS OF CHANGE: 20240305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Barlow Jeff D. CENTRAL INDEX KEY: 0001555603 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31719 FILM NUMBER: 24724024 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] ORGANIZATION NAME: 02 Finance 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_1709689276.xml FORM 4 X0508 4 2024-03-01 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 2024-03-01 4 A 0 11473 387.21 A 76451 D Common Stock 2024-03-01 4 F 0 6133 387.21 D 70318 D Common Stock 2024-03-01 4 F 0 2205 387.21 D 68113 D Common Stock 2024-03-01 4 A 0 3306 387.21 A 71419 D Shares issued in settlement of performance stock units granted on March 1, 2021, which vested at the 170% achievement level based on the Company's averaged achievement of adjusted net income per share in the three fiscal years of 2021, 2022, and 2023. Represents the closing price of the Issuer's common stock on March 1, 2024. The shares were applied to payment of withholding taxes in connection with vesting of the above-mentioned performance stock units. The shares were applied to the payment of withholding taxes arising in connection with the vesting of 4,137 shares on March 1, 2024. Grant of restricted stock under the Issuer's 2019 Equity Incentive Plan. The shares shall vest as follows: The 3,306 newly granted shares shall vest in one-third on each of March 1, 2025, March 1, 2026, and March 1, 2027. Additional shares shall vest as follows: 2,636 shares shall vest on March 1, 2025; 1,461 shares shall vest on March 1, 2026. The shares total includes an additional five shares to correct a clerical error. The remaining shares are vested. Jeff D. Barlow 2024-03-05