SEC Info - Orcutt Rebecca - ‘3’ for 8/19/22 re: ModivCare Inc.

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Orcutt Rebecca

(Last)

(First)

(Middle)

6900 LAYTON AVENUE

12TH FLOOR

(Street)

DENVER

80237

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
8/19/22

3. Issuer Name and Ticker or Trading Symbol
ModivCare Inc [ MODV ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
VP, Chief Accounting Officer

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	705 ⁽¹⁾	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Employee Stock Option (Right to Buy)	⁽²⁾	2/10/26	Common Stock	232	179.24	D
Employee Stock Option (Right to Buy)	⁽³⁾	8/11/26	Common Stock	142	179.52	D
Employee Stock Option (Right to Buy)	⁽⁴⁾	2/7/27	Common Stock	424	106.28	D

Explanation of Responses:

(1) Represents 71 shares of common stock and 634 restricted stock units, which are scheduled to vest as follows: (1) 138 shares will vest on February 7, 2023, (2) 67 shares will vest on February 10, 2023, (3) 43 shares will vest on August 11, 2023, (4) 138 shares will vest on February 7, 2024, (5) 66 shares will vest on February 10, 2024, (6) 44 shares will vest on August 11, 2024 and (7) 138 shares will vest on February 7, 2025, in each case, subject to the reporting person's continued employment.

(2) 77 Options are exercisable, the remainder become exercisable with respect to: (1) 78 shares on February 10, 2023 and (2) 77 shares on February 10, 2024, in each case, subject to the reporting person's continued employment.

(3) 47 Options are exercisable, the remainder become exercisable with respect to: (1) 48 shares on August 11, 2023 and (2) 47 shares on August 11, 2024, in each case, subject to the reporting person's continued employment.

(4) Option becomes exercisable with respect to: (1) 141 shares on February 7, 2023, (2) 142 shares on February 7, 2024 and (3) 141 shares on February 7, 2025, in each case, subject to the reporting person's continued employment.

Remarks:

Exhibit Index: Exhibit 24 - Power of Attorney

	/s/ Jonathan B. Bush by Power of Attorney	9/1/22
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

Orcutt Rebecca – ‘3’ for 8/19/22 re: ModivCare Inc.

On: Thursday, 9/1/22, at 8:59pm ET · For: 8/19/22 · As: Officer · Accession #: 1437749-22-21734 · File #: 1-34221

Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34

Filing Table of Contents

‘3’ — Initial Statement of Beneficial Ownership of Securities by an Insider — rdgdoc.xml/2.6

This ‘3’ Document is an XML Data File that may be rendered in various formats:

Orcutt Rebecca – ‘3’ for 8/19/22 re: ModivCare Inc.

On: Thursday, 9/1/22, at 8:59pm ET · For: 8/19/22 · As: Officer · Accession #: 1437749-22-21734 · File #: 1-34221

Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34Filing Table of Contents

‘3’ — Initial Statement of Beneficial Ownership of Securities by an Insider — rdgdoc.xml/2.6

This ‘3’ Document is an XML Data File that may be rendered in various formats:

Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34

Filing Table of Contents