Filing Details
- Accession Number:
- 0001181431-11-058426
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2011-12-02 15:48:55
- Reporting Period:
- 2011-11-30
- Filing Date:
- 2011-12-02
- Accepted Time:
- 2011-12-02 15:48:55
- 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 | 2011-11-30 | 2,111 | $21.80 | 87,169 | No | 4 | S | Direct | |
| Common Stock | Disposition | 2011-12-01 | 6,485 | $22.00 | 80,684 | No | 4 | S | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | S | Direct | |
| 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 | 21,000 | 31,500 | Direct | |
| Common Stock | Stock Options (Right to Buy) | $19.11 | 2016-02-02 | 7,000 | 21,000 | Direct | |
| Common Stock | Stock Options (Right to Buy) | $20.88 | 2017-03-01 | 11,000 | 16,500 | Direct |
| Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|
| 2015-07-01 | 21,000 | 31,500 | Direct |
| 2016-02-02 | 7,000 | 21,000 | Direct |
| 2017-03-01 | 11,000 | 16,500 | Direct |
Footnotes
- Represents the actual selling price for all 2,111 shares.
- 27,000 shares vest on 3/1/2012 provided the Issuer meets specified operating revenue for 2011 and the Reporting Person continues to be employed by the Issuer on such date; additionally, 15,300 shares vest on 3/1/2012, 10,200 shares vest on 3/1/2013 and 5,100 shares vest on 3/1/2014. The remainder of the shares are vested.
- Amount of securities beneficially owned adjusted to reflect a 3:2 stock split effective May 20, 2011.
- Represents the actual selling price for all 6,485 shares.
- Conversion or exercise price of derivative security adjusted to reflect a 3:2 stock split effective May 20, 2011.
- The options are fully vested.
- Number of derivative securities beneficially owned adjusted to reflect a 3:2 stock split effective May 20, 2011.
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