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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 Options (Right to Purchase) | $ 29.77 | (4) | 02/09/2016 | Common Stock | 3,350 | 3,350 | D | ||||||||
Stock Options (Right to Purchase) | $ 31.32 | 03/01/2008(5) | 03/01/2017 | Common Stock | 2,000 | 2,000 | D | ||||||||
Stock Options (Right to Purchase) | $ 32.01 | 05/29/2008(6) | 05/29/2017 | Common Stock | 9,000 | 9,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HOWATT JAMES W 2277 FAIR OAKS BOULEVARD, SUITE 440 SACRAMENTO, CA 95825 |
Chief Medical Officer |
Jeff D. Barlow, by power of attorney for James W. Howatt. | 03/03/2009 | |
**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) | Annual grant of restricted shares under the Molina Healthcare, Inc. 2002 Equity Incentive Plan. The shares vest in one-quarter increments on each of 3/1/2010, 3/1/2011, 3/1/2012, and 3/1/2013. |
(2) | In addition to the shares vesting as noted above, increments of 762 shares vest on each of 5/29/2009, 5/29/2010, and 5/29/2011; increments of 625 shares vest on each of 3/1/2010 and 3/1/2011; and increments of 3,050 shares vest on each of 3/1/2010, 3/1/2011, and 3/1/2012. The remainder of the shares are vested. |
(3) | Represents the closing sale price of our common stock on Friday, February 27, 2009. In connection with the vesting of 3,675 shares on 3/1/09, the reporting person surrendered 1,431 shares in payment of the taxes associated with the vested shares. |
(4) | The options are fully vested. |
(5) | 1,000 of the options are vested; increments of 500 options vest on each of 3/1/2010 and 3/1/2011. |
(6) | 2,250 of the options are vested; increments of 2,250 options vest on each of 5/29/2009, 5/29/2010, and 5/29/2011. |