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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (Right to Buy) | $ 25.33 | (4) | 02/10/2014 | Common Stock | 15,000 | 15,000 | D | ||||||||
Stock Option (Right to Buy) | $ 44.29 | (5) | 07/01/2015 | Common Stock | 4,500 | 4,500 | D | ||||||||
Stock Option (Right to Buy) | $ 28.66 | 02/02/2007(6) | 02/02/2016 | Common Stock | 9,500 | 9,500 | D | ||||||||
Stock Option (Right to Buy) | $ 31.32 | 03/01/2008(7) | 03/01/2017 | Common Stock | 3,000 | 3,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
WHITE JOSEPH W CPA 2277 FAIR OAKS BLVD, STE 440 SACRAMENTO, CA 95825 |
Chief Accounting Officer |
Jeff D. Barlow, by power of attorney for Joseph W. White | 01/05/2009 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The shares were acquired under the Molina Healthcare, Inc. 2002 Equity Incentive Plan. |
(2) | Represents the closing price on Wednesday, December 31, 2008. |
(3) | Increments of 220 shares vest on each of 7/1/2009 and 7/1/2010; 833 shares vest on 8/15/2009; increments of 750 shares vest on 3/1/2009, 3/1/2010, and 3/1/2011; and 5,600 shares vest in one-quarter increments on 3/1/2009, 3/1/2010, 3/1/2011, and 3/1/2012. The remainder of the shares are fully vested. |
(4) | The options are fully vested. |
(5) | The options are fully vested. |
(6) | Two-thirds of the options are vested; the remainder vest on 2/2/2009. |
(7) | One-fourth of the options are vested; the remainder vest on each of 3/1/09, 3/1/10, and 3/1/11. |