Filing Details

Accession Number:
0001181431-11-057352
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-11-22 16:16:18
Reporting Period:
2011-11-18
Filing Date:
2011-11-22
Filing Date Changed:
2011-11-22
Accepted Time:
2011-11-22 16:16:18
Original Submission Date:
Issuer
Cik Name Symbol Sector (SIC) IRS No
1179929 Molina Healthcare Inc MOH Hospital & Medical Service Plans (6324) 134204626
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1206684 Ronna Romney 300 University Avenue, Suite 100
Sacramento CA 95825
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings
Common Stock Disposition 2011-11-18 2,650 $20.95 24,725
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date
Common Stock Stock Option (Right to Buy) $11.32
Expiration Date Amount Remaning Holdings Nature of Ownership
2013-01-01 15,000 15,000 Direct
Footnotes
  1. Represents the weighted average selling price of two separate transactions, one with 200 shares of common stock sold at $20.975 per share and the other with 2,450 shares of common stock sold at $20.95 per share.
  2. Amount of securities beneficially owned adjusted to reflect a 3:2 stock split effective May 20, 2011.
  3. Shares vest in 3,000 share increments on December 31, 2011 and March 31, 2012. The remainder of the shares are fully vested.
  4. Conversion or exercise price of derivative security adjusted to reflect a 3:2 stock split effective May 20, 2011.
  5. The options are exercisable immediately.
  6. Number of derivative securities beneficially owned adjusted to reflect a 3:2 stock split effective May 20, 2011.
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