Filing Details
- Accession Number:
- 0001209191-12-054842
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2012-11-28 17:56:00
- Reporting Period:
- 2012-11-27
- Filing Date:
- 2012-11-28
- Accepted Time:
- 2012-11-28 17:56:00
- 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 |
|---|---|---|---|---|---|---|---|
| 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 | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock | Disposition | 2012-11-27 | 60,000 | $27.83 | 401,132 | No | 4 | S | Direct | |
| Common Stock | Disposition | 2012-11-28 | 25,000 | $27.33 | 376,132 | No | 4 | S | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | S | Direct | |
| No | 4 | S | Direct |
Reported Non-Derivative Holdings
| Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
|---|---|---|---|
| Common Stock | 58,859 | Direct | |
| Common Stock | 22,750 | Indirect | Manager of limited liability company |
| Common Stock | 156,657 | Indirect | Trustee of trust |
| 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 | 214,212 | 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 | Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|---|---|---|---|
| Common Stock | Stock Option (Right to Buy) | $20.88 | 2017-03-01 | 54,000 | 54,000 | Direct |
| Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|
| 2017-03-01 | 54,000 | 54,000 | Direct |
Footnotes
- Represents the weighted average sale price of all sales on the Transaction Date. The range of prices for the transactions was $27.3018 to $28.40. The Reporting Person undertakes to provide full information about the transactions to the Commission upon request.
- Represents the weighted average sale price of all sales on the Transaction Date. The range of prices for the transactions was $27.18 to $27.52. The Reporting Person undertakes to provide full information about the transactions to the Commission upon request.
- 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.
- The shares are owned by Dr. Molina and his spouse as community property.
- The shares are owned by the Molina Family, LLC, of which Dr. Molina is the sole manager.
- Includes 35,788 shares previously transferred from JMM GRAT 911/4 for no consideration in a non-reportable transaction.
- The shares are owned by the J. Marion Molina Separate Property Trust, of which Dr. Molina is sole trustee.
- The shares are owned by JMB GRAT 1209/4 for the benefit of Josephine M. Battiste, of which Dr. Molina is sole trustee.
- The shares are owned by JMM GRAT 1208/5, of which Dr. Molina is beneficiary.
- 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.
- Excludes 35,788 shares previously transferred to the J. Marion Molina Separate Property Trust for no consideration in a non-reportable transaction.
- The shares are owned by JMM GRAT 911/4, of which Dr. Molina is the beneficiary.
- 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.
- 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.
- 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.
- 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.
- The options are fully vested.
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