0001477814-14-000004.txt : 20141222 0001477814-14-000004.hdr.sgml : 20141222 20141219194902 ACCESSION NUMBER: 0001477814-14-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) FILED AS OF DATE: 20141222 DATE AS OF CHANGE: 20141219 EFFECTIVENESS DATE: 20141222 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Moda Health Plan, Inc. CENTRAL INDEX KEY: 0001477814 IRS NUMBER: 930989307 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-230566 FILM NUMBER: 141301127 BUSINESS ADDRESS: STREET 1: 601 SW 2ND AVENUE STREET 2: 24TH FLOOR CITY: PORTLAND STATE: OR ZIP: 97204 BUSINESS PHONE: (503) 219-3677 MAIL ADDRESS: STREET 1: 601 SW 2ND AVENUE STREET 2: 24TH FLOOR CITY: PORTLAND STATE: OR ZIP: 97204 FORMER COMPANY: FORMER CONFORMED NAME: ODS Health Plan, Inc. DATE OF NAME CHANGE: 20091201 D 1 primary_doc.xml X0707 D LIVE 0001477814 Moda Health Plan, Inc. 601 SW 2ND AVENUE 24TH FLOOR PORTLAND OR OREGON 97204 (503) 219-3677 OREGON ODS Health Plan, Inc. Corporation true Robert Gootee 601 SW 2nd Avenue 24th Floor Portland OR OREGON 97204 Executive Officer Director Chief Executive Officer and Director Dr. William Johnson 601 SW 2nd Avenue 24th Floor Portland OR OREGON 97204 Executive Officer President Thomas Bikales 601 SW 2nd Avenue 24th Floor Portland OR OREGON 97204 Executive Officer Secretary Dave Evans 601 SW 2nd Avenue 24th Floor Portland OR OREGON 97204 Executive Officer Chief Financial Officer Molly Bordonaro 601 SW 2nd Avenue 24th Floor Portland OR OREGON 97204 Director Dr. George Darke 601 SW 2nd Avenue 24th Floor Portland OR OREGON 97204 Director Dr. David Howerton 601 SW 2nd Avenue 24th Floor Portland OR OREGON 97204 Director C.J. McLeod 601 SW 2nd Avenue 24th Floor Portland OR OREGON 97204 Director Health Insurance Decline to Disclose 06b 3C 3C.1 false 2014-12-15 false true false 50000000 50000000 50000000 0 false 1 0 0 0 false Moda Health Plan, Inc. /s/ Dave Evans Dave Evans Chief Financial Officer 2014-12-18