OLSEN GEORGE KIRK 4
4 · MOLINA HEALTHCARE INC · Filed Jan 5, 2004
Insider Transaction Report
Form 4
OLSEN GEORGE KIRK
VP, Molina Advantage
Transactions
- Other
Common Stock
[F1]2003-12-31$14.88/sh+875$13,020→ 875 total
Holdings
- 6,600
Stock Option (Right to Buy)
[F2]Exercise: $4.50Exp: 2010-12-27→ Common Stock (6,600 underlying) - 47,760
Stock Option (Right to Buy)
[F3]Exercise: $3.13Exp: 2010-05-11→ Common Stock (47,760 underlying)
Footnotes (3)
- [F1]The shares were acquired under the Molina Healthcare, Inc. 2002 Employee Stock Purchase Plan.
- [F2]All options became fully exercisable upon the closing of the initial public offering of Molina Healthcare, Inc. Prior thereto, options vested in 3 equal annual installments, with the first installment having vested on 12/27/2001.
- [F3]All options became fully exercisable upon the closing of the initial public offering of Molina Healthcare, Inc. Prior thereto, options vested in 3 equal annual installments, with the first installment having vested on 5/11/2001.
Signature
George Kirk Olsen, by Nicholas Arbuckle, Attorney-In-Fact pursuant to Exhibit 24 hereto|2004-01-05