0001437749-22-021734.txt : 20220901 0001437749-22-021734.hdr.sgml : 20220901 20220901205905 ACCESSION NUMBER: 0001437749-22-021734 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20220819 FILED AS OF DATE: 20220901 DATE AS OF CHANGE: 20220901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Orcutt Rebecca CENTRAL INDEX KEY: 0001944421 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34221 FILM NUMBER: 221223021 MAIL ADDRESS: STREET 1: 6900 LAYTON AVENUE STREET 2: 12TH FLOOR CITY: DENVER STATE: CO ZIP: 80237 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ModivCare Inc CENTRAL INDEX KEY: 0001220754 STANDARD INDUSTRIAL CLASSIFICATION: TRANSPORTATION SERVICES [4700] IRS NUMBER: 860845127 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6900 LAYTON AVENUE STREET 2: 12TH FLOOR CITY: DENVER STATE: CO ZIP: 80237 BUSINESS PHONE: 303-728-7030 MAIL ADDRESS: STREET 1: 6900 LAYTON AVENUE STREET 2: 12TH FLOOR CITY: DENVER STATE: CO ZIP: 80237 FORMER COMPANY: FORMER CONFORMED NAME: PROVIDENCE SERVICE CORP DATE OF NAME CHANGE: 20030226 3 1 rdgdoc.xml FORM 3 X0206 3 2022-08-19 0 0001220754 ModivCare Inc MODV 0001944421 Orcutt Rebecca 6900 LAYTON AVENUE 12TH FLOOR DENVER CO 80237 1 VP, Chief Accounting Officer Common Stock 705 D Employee Stock Option (Right to Buy) 179.2400 2026-02-10 Common Stock 232 D Employee Stock Option (Right to Buy) 179.5200 2026-08-11 Common Stock 142 D Employee Stock Option (Right to Buy) 106.2800 2027-02-07 Common Stock 424 D Represents 71 shares of common stock and 634 restricted stock units, which are scheduled to vest as follows: (1) 138 shares will vest on February 7, 2023, (2) 67 shares will vest on February 10, 2023, (3) 43 shares will vest on August 11, 2023, (4) 138 shares will vest on February 7, 2024, (5) 66 shares will vest on February 10, 2024, (6) 44 shares will vest on August 11, 2024 and (7) 138 shares will vest on February 7, 2025, in each case, subject to the reporting person's continued employment. 77 Options are exercisable, the remainder become exercisable with respect to: (1) 78 shares on February 10, 2023 and (2) 77 shares on February 10, 2024, in each case, subject to the reporting person's continued employment. 47 Options are exercisable, the remainder become exercisable with respect to: (1) 48 shares on August 11, 2023 and (2) 47 shares on August 11, 2024, in each case, subject to the reporting person's continued employment. Option becomes exercisable with respect to: (1) 141 shares on February 7, 2023, (2) 142 shares on February 7, 2024 and (3) 141 shares on February 7, 2025, in each case, subject to the reporting person's continued employment. Exhibit Index: Exhibit 24 - Power of Attorney /s/ Jonathan B. Bush by Power of Attorney 2022-09-01 EX-24 2 modv20220901_sec16.htm modv20220901_sec16.htm

Exhibit 24

POWER OF ATTORNEY

 

Know all by these presents, that the undersigned hereby constitutes and appoints L. Heath Sampson and Jonathan B. Bush, either of them acting singly and with full power of substitution, as his or her true and lawful attorney-in-fact to:

 

 

(1)

execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer or director or both of ModivCare Inc. (the “Company”), Forms 3, 4 and 5 (and any amendments thereto), as a result of the undersigned's ownership of or transactions in the Company’s securities, in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) and the rules thereunder;

 

 

(2)

do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete the execution of any such Form 3, 4 or 5 (and any amendments thereto), and the timely filing of such form with the Securities and Exchange Commission and any securities exchange or similar authority; and

 

 

(3)

take any other action in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by or for, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in his or her discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act required, necessary and 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 his or her 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 authority under this Power of Attorney shall continue until the undersigned is no longer required to file Forms 3, 4 and 5 with regard to the undersigned's ownership of or transactions in securities of the Company, unless earlier revoked by the undersigned in writing. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request and on behalf of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with, or any liability for the failure to comply with, Section 16 of the Exchange Act.

 

The undersigned hereby revokes any and all powers of attorney executed prior to the date hereof which purport to appoint attorneys-in-fact to act on the undersigned’s behalf in connection with the execution and filing of Forms 3, 4 and 5 with regard to the securities of the Company.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 23rd day of August, 2022.

 

 

  /s/Rebecca Orcutt  
  Signature  
     
  Rebecca Orcutt  
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