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KOONTZ LILLIS ANN 4

Accession 0001181431-05-000862

CIK 0001179929other

Filed

Jan 3, 7:00 PM ET

Accepted

Jan 4, 3:10 PM ET

Size

11.3 KB

Accession

0001181431-05-000862

Insider Transaction Report

Form 4
Period: 2004-12-31
KOONTZ LILLIS ANN
Pres. & CEO of Molina of WA
Transactions
  • Other

    Common Stock

    2004-12-31$46.38/sh230$10,66726,011 total
Holdings
  • Stock Options (Right to Buy)

    Exercise: $4.50Exp: 2010-12-27Common Stock (9,240 underlying)
    9,240
  • Common Stock

    25,781
  • Stock Options (Right to Buy)

    Exercise: $25.33From: 2005-02-10Exp: 2014-02-10Common Stock (15,000 underlying)
    15,000
Footnotes (4)
  • [F1]781 of the shares are fully vested, and 10,000 of the shares were granted as a restricted stock bonus award under the Molina Healthcare, Inc. 2002 Equity Incentive Plan, with one-third of the shares to vest on each of 9/13/2005, 9/13/2006, and 9/13/2007.
  • [F2]The shares were acquired under the Molina Healthcare, Inc. 2002 Employee Stock Purchase Plan.
  • [F3]The options vest one-third on each of 2/10/2005, 2/10/2006, and 2/10/2007.
  • [F4]The options became fully exercisable upon the closing of the initial public offering of the issuer.

Issuer

MOLINA HEALTHCARE INC

CIK 0001179929

Entity typeother

Related Parties

1
  • filerCIK 0001246733

Filing Metadata

Form type
4
Filed
Jan 3, 7:00 PM ET
Accepted
Jan 4, 3:10 PM ET
Size
11.3 KB