Filing Details

Accession Number:
0001181431-13-028855
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-05-17 20:21:45
Reporting Period:
2013-05-17
Filing Date:
2013-05-17
Accepted Time:
2013-05-17 20:21:45
SEC Url:
Form 4 Filing
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
1305822 Terry Bayer 300 University Avenue, Suite 100
Sacramento CA 95825
Chief Operating Officer No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Disposition 2013-05-17 8,439 $37.90 133,240 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Stock Options (Right to Buy) $29.53 2015-07-01 31,500 31,500 Direct
Common Stock Stock Options (Right to Buy) $19.11 2016-02-02 21,000 21,000 Direct
Common Stock Stock Options (Right to Buy) $20.88 2017-03-01 16,500 16,500 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2015-07-01 31,500 31,500 Direct
2016-02-02 21,000 21,000 Direct
2017-03-01 16,500 16,500 Direct
Footnotes
  1. Represents the actual selling price for all 8,439 shares.
  2. 7,786 shares vest on each of June 30, 2013, September 30, 2013, and December 31, 2013. 62,286 shares vest in 1/4th increments as follows: (i) 1/4th shall vest in equal 1/3rd increments over three years on March 1, 2014, March 1, 2015, and March 1, 2016; (ii) 1/4th shall vest upon the Company achieving three-year Total Stockholder Return (as compared to the Company's ISS peer group), for the three-year period ending December 31, 2013 equal to or greater than the 50th percentile in that peer group; (iii) 1/4th shall vest upon the Company achieving total revenue in any of the 2013, 2014, or 2015 fiscal years equal to or greater than $12 billion; and (iv) 1/4th shall vest upon the Company's achieving three-year EBITDA margin for the three-year period ending December 31, 2013 equal to or greater than 2.5%. Additionally, 5,100 shares vest on March 1, 2014. The remainder of the shares are vested.
  3. The options are fully vested.