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