L. Heath Sampson - 31 Aug 2023 Form 4 Insider Report for ModivCare Inc (MODV)

Role: President, CEO, CFO, Director
Signature: /s/ Jonathan Bush by Power of Attorney
Issuer symbol: MODV
Transactions as of: 31 Aug 2023
Net transactions value: $0
Form type: 4
Filing time: 05 Sep 2023, 16:43:54 UTC
Previous filing: 24 May 2023
Next filing: 19 Sep 2023
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	MODV	Common Stock	Award	$0	+17,757	+265%	$0.000000	24,466	31 Aug 2023	Direct	F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	MODV	Performance Restricted Stock Units	Award	$0	+26,635		$0.000000	26,635	31 Aug 2023	Common Stock	26,635		Direct	F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Represents restricted stock units scheduled to vest as follows: (i) 5,919 shares will vest on August 31, 2024, (ii) 5,919 shares will vest on August 31, 2025 and (iii) 5,919 shares will vest on August 31, 2026, in each case, subject to the reporting person's continued employment.
F2	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 revenue and Adjusted EBITDA thresholds measured by reference to the issuer's audited financial statements for its fiscal year ending December 31, 2025, subject to the reporting person's continued employment through the vesting date of August 31, 2026. The number of shares of common stock reported assumes a revenue and Adjusted EBITDA performance target achieved that corresponds to a 100% payout level.

Content

Represents restricted stock units scheduled to vest as follows: (i) 5,919 shares will vest on August 31, 2024, (ii) 5,919 shares will vest on August 31, 2025 and (iii) 5,919 shares will vest on August 31, 2026, in each case, subject to the reporting person's continued employment.

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 revenue and Adjusted EBITDA thresholds measured by reference to the issuer's audited financial statements for its fiscal year ending December 31, 2025, subject to the reporting person's continued employment through the vesting date of August 31, 2026. The number of shares of common stock reported assumes a revenue and Adjusted EBITDA performance target achieved that corresponds to a 100% payout level.