KULICH ROMAN 4/A

4/A · MOLINA HEALTHCARE INC · Filed Feb 10, 2004

Form 4/AAmended

Period: 2004-02-02

Pres & CEO of Molina of MI

Transactions

Sale
Common Stock
2004-02-02$25.65/sh−4,900$125,685→ 1,154 total
Exercise of In-Money
Common Stock
2004-02-03$4.50/sh+14,440$64,980→ 15,594 total
Sale
Common Stock
2004-02-03$25.75/sh−10,000$257,500→ 5,594 total
Sale
Common Stock
2004-02-03$25.35/sh−240$6,084→ 5,354 total
Exercise of In-Money
Stock Option (Right to Buy)
2004-02-03−14,440→ 0 total
Exercise: $4.50Exp: 2011-10-29→ Common Stock (14,440 underlying)
Sale
Common Stock
2004-02-03$25.30/sh−4,200$106,260→ 1,154 total
Exercise of In-Money
Stock Option (Right to Buy)
2004-02-02−5,000→ 14,440 total
Exercise: $4.50Exp: 2011-10-29→ Common Stock (5,000 underlying)
Sale
Common Stock
2004-02-02$25.70/sh−100$2,570→ 6,054 total
Exercise of In-Money
Common Stock
2004-02-02$4.50/sh+5,000$22,500→ 6,154 total

Footnotes (8)

[F1]The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 30, 2003.
[F2]The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 30, 2003.
[F3]The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 30, 2003.
[F4]The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 30, 2003.
[F5]The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 30, 2003.
[F6]Options became fully exercisable upon closing of initial public offering of Molina Healthcare, Inc. Prior thereto, options to purchase the shares vested as to (i) 14,665 shares on 4/7/2003; (ii) 14,665 shares on 4/7/2004; and (iii) 15,110 shares on 4/7/2005.
[F7]Options became fully exercisable upon closing of initial public offering of Molina Healthcare, Inc. Prior thereto, options to purchase the shares vested as to (i) 14,665 shares on 4/7/2003; (ii) 14,665 shares on 4/7/2004; and (iii) 15,110 shares on 4/7/2005.
[F8]This is the only change to this Form 4/A

Documents

1 file