Form Type: 4

SEC EDGAR Link
Accession Number:0001437749-22-028049
Date:2022-11-21
Issuer: MODIVCARE INC (MODV)
Original Submission Date:

Reporting Person:

SAMPSON L HEATH
6900 LAYTON AVENUE
12TH FLOOR DENVER, CO 80237

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2022-11-21 A 573 a $0.00 5,234 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
EMPLOYEE STOCK OPTION (RIGHT TO BUY) 85.99 2022-11-21 deemed execution date A 1,579 (a) 2027-11-21 common stock 1,579 $85.99 1,579 direct
PERFORMANCE RESTRICTED STOCK UNITS 0.0 2022-11-21 deemed execution date A 1,147 (a) 2025-11-21 common stock $0.00 1,147 direct
Footnotes
IDfootnote
f1 represents restricted stock units scheduled to vest as follows: (1) 191 shares will vest on november 21, 2023, (2) 191 shares will vest on november 21, 2024 and (3) 191 shares will vest on november 21, 2025, in each case, subject to the reporting person's continued employment.
f2 option becomes exercisable with respect to: (1) 526 shares on november 21, 2023, (2) 527 shares on november 21, 2024 and (3) 526 shares on november 21, 2025, in each case, subject to the reporting person's continued employment.
f3 represents the contingent right to receive a number of shares of issuer common stock determined by multiplying the number of performance units by a percentage from 50% to 200% that corresponds to specified share price thresholds measured by reference to a volume-weighted average price (vwap) of the issuer's common stock over a specified period of trading days prior to the expiration date of the award, subject to the reporting person's continued employment.
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