Filing Details

Accession Number:
0001209191-12-017379
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-03-12 08:48:34
Reporting Period:
2012-03-08
Filing Date:
2012-03-12
Filing Date Changed:
2012-03-12
Accepted Time:
2012-03-12 09:48:34
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
1246792 Md Mario J Molina 300 University Ave., Suite 100
Sacramento CA 95825
President & Ceo Yes Yes No Yes
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings
Common Stock Disposition 2012-03-08 15,200 $33.08 84,594
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 461,132 Direct
Common Stock 120,869 Indirect Trustee of trust
Common Stock 43,050 Indirect Manager of limited liability company
Common Stock 107,309 Indirect Trustee of trust
Common Stock 43,131 Indirect Trust
Common Stock 240,000 Indirect General partner of family partnership
Common Stock 250,000 Indirect Trust
Common Stock 1,362 Indirect Trust
Common Stock 1,362 Indirect Trust
Common Stock 1,361 Indirect Trust
Common Stock 1,361 Indirect Trust
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 transactions was $33.00 to $33.21. The Reporting Person undertakes to provide full information about the transactions to the Commission upon request.
  2. The shares were issued pursuant to the Issuer's Equity Incentive Plan and are fully vested. An additional 11,700 vest on March 1, 2013 and 5,850 vest on March 1, 2014.
  3. The shares are owned by Dr. Molina and his spouse as community property.
  4. The shares are owned by the J. Marion Molina Separate Property Trust, of which Dr. Molina is sole trustee.
  5. The shares are owned by the Molina Family, LLC, of which Dr. Molina is the sole manager.
  6. The shares are owned by JMB GRAT 1209/4 for the benefit of Josephine M. Battiste, of which Dr. Molina is sole trustee.
  7. The shares are owned by JMM GRAT 1208/5, of which Dr. Molina is beneficiary.
  8. The shares are owned by the Molina Family Partnership, L.P., of which Dr. Molina is the sole general partner. Dr. Molina and his spouse each hold a 0.5% ownership interest in the partnership. The remaining 99% of ownership interests in the partnership are held in equal amounts by the Joseph Marion Molina, M.D. Annuity Trust No. 1, the Joseph Marion Molina, M.D. Annuity Trust No. 2 and the Joseph Marion Molina, M.D. Annuity Trust No. 3. Dr. Molina is trustee and certain immediate family members of Dr. Molina are the beneficiaries of these trusts.
  9. The shares are owned by JMM GRAT 911/4, of which Dr. Molina is the beneficiary.
  10. The shares are owned by Dr. Molina's spouse, Therese A. Molina, Trustee of the Remainder Trust for David M.F. Molina dated 12/3/2008.
  11. The shares are owned by Dr. Molina's spouse, Therese A. Molina, Trustee of the Remainder Trust for Mary Clare F. Molina dated 12/3/2008.
  12. The shares are woned by Dr. Molina's spouse, Therese A. Molina, Trustee of the Remainder Trust for Carly F. Fox dated 12/3/2008.
  13. The shares are owned by Dr. Molina's spouse, Therese A. Molina, Trustee of the Remainder Trust for Colleen A.F. Fox dated 12/3/2008.
  14. The options are fully vested.
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