Filing Details

Accession Number:
0001209191-12-015514
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-03-05 13:31:26
Reporting Period:
2012-03-01
Filing Date:
2012-03-05
Filing Date Changed:
2012-03-05
Accepted Time:
2012-03-05 13:31:26
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
1246837 C John Molina 300 University Ave., Suite 100
Sacramento CA 95825
Cfo Yes Yes Yes Yes
1246941 Trust Siblings Molina 741 Atlantic Avenue
Long Beach CA 90813
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings
Common Stock Disposition 2012-03-01 20,000 $33.61 2,144,840
Common Stock Disposition 2012-03-01 30,000 $33.50 692,386
Common Stock Disposition 2012-03-01 57,726 $33.53 96,691
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Indirect Trustee of Family Trust
No 4 S Direct
No 4 F Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 175,891 Indirect Trustee of Family Trust
Common Stock 11,154 Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date
Common Stock Stock Option (Right to Buy) $20.88
Expiration Date Amount Remaning Holdings Nature of Ownership
2017-03-01 54,000 54,000 Direct
Footnotes
  1. Represents the weighted average sale price of all sales on the Transaction Date. The range of prices for the transaction was $33.16 to $33.78. The Reporting Person undertakes to provide full information about the transactions to the Commission upon request.
  2. The shares are owned by the Molina Siblings Trust, of which Mr. Molina is the trustee and certain immediate family members of Mr. Molina are the beneficiaries.
  3. Represents the weighted average sale price of all sales on the Transaction Date. The range of prices for the transactions was $33.08 to $33.78. The Reporting Person undertakes to provide full information about the transactions to the Comission upon request.
  4. The report now lists on a separate line shares issed pursuant to the Issuer's Equity Incentive Plan. This total also corrects an overstatement of shares by 50,167.
  5. The shares were applied to the payment of withholding taxes arising in connection with the vesting of 130,050 shares on March 1, 2012.
  6. Represents the closing and selling price of the Issuer's common stock on March 1, 2012.
  7. The shares were issued pursuant to the Issuer's Equity Incentive Plan and are fully vested. An additional 11,700 shares vest on March 1, 2013, and 5,850 shares vest on March 1, 2014. Vesting was previously reported using pre-split numbers in effect prior to the 3:2 stock split effective May 20, 2011.
  8. The shares are owned by Mr. Molina and his spouse as community property.
  9. The total corrects an overstatement by 2 shares. Also includes 83,640 shares previously transferred in non-reportable transactions from MRM GRATs 508/3, 1108/2, 1108/3, 609/2 and 1209/2.
  10. The shares are owned by the John C. Molina Separate Property Trust, of which Mr. Molina is the trustee and beneficiary.
  11. The options are fully vested.
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