0001437749-23-025395.txt : 20230907 0001437749-23-025395.hdr.sgml : 20230907 20230907161551 ACCESSION NUMBER: 0001437749-23-025395 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230905 FILED AS OF DATE: 20230907 DATE AS OF CHANGE: 20230907 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Toledo Henry CENTRAL INDEX KEY: 0001992217 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34221 FILM NUMBER: 231242434 MAIL ADDRESS: STREET 1: 6900 LAYTON AVENUE, 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 4 1 rdgdoc.xml FORM 4 X0508 4 2023-09-05 0001220754 ModivCare Inc MODV 0001992217 Toledo Henry 6900 LAYTON AVENUE 12TH FLOOR DENVER CO 80237 1 Chief People Officer 0 Common Stock 2023-09-05 4 A 0 17287 0 A 17287 D Performance Restricted Stock Units 2023-09-05 4 A 0 13094 0 A 2026-09-05 Common Stock 13094 13094 D Represents restricted stock units scheduled to vest as follows: (i) 5,050 shares will vest on September 5, 2024, (ii) 5,049 shares will vest on September 5, 2025 and (iii) 7,188 shares will vest on September 5, 2026, in each case, subject to the reporting person's continued employment. Represents the contingent right to receive a number of shares of issuer common stock determined by multiplying the number of performance units by a percentage from 50% to 200% that corresponds to specified revenue and Adjusted EBITDA thresholds measured by reference to the issuer's audited financial statements for its fiscal year ending December 31, 2025, subject to the reporting person's continued employment through the vesting date of September 5, 2026. The number of shares of common stock reported assumes a revenue and Adjusted EBITDA performance target achieved that corresponds to a 100% payout level. /s/ Jonathan B. Bush by Power of Attorney 2023-09-07