$MOH·4

MOLINA HEALTHCARE INC · Dec 22, 5:22 PM ET

MOLINA HEALTHCARE INC 4

4 · MOLINA HEALTHCARE INC · Filed Dec 22, 2004

Insider Transaction Report

Form 4
Period: 2004-12-20
HELMER RICHARD A MD
V.P. and Chief Medical Officer
Transactions
  • Exercise/Conversion

    Stock Option (right to buy)

    2004-12-207,1200 total
    Exercise: $4.50Exp: 2011-11-18Common Stock (7,120 underlying)
  • Exercise/Conversion

    Common Stock

    2004-12-20$4.50/sh+7,120$32,0408,861 total
  • Sale

    Common Stock

    2004-12-20$47.45/sh7,120$337,8441,741 total
Holdings
  • Stock Option (right to buy)

    Exercise: $25.33From: 2005-02-10Exp: 2014-02-10Common Stock (15,000 underlying)
    15,000
  • Common Stock

    1,741
Footnotes (3)
  • [F1]Represents the weighted average sales price of 15 separate sales made on 12/20/2004.
  • [F2]The options became fully exercisable upon the closing of the initial public offering of the issuer.
  • [F3]The options vest one-third on each of 2/10/2005, 2/10/2006, and 2/10/2007.

Documents

2 files