Sec Form 3 Filing - Mounts Gonzales David @ ModivCare Inc - 2025-03-07

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Mounts Gonzales David
2. Issuer Name and Ticker or Trading Symbol
ModivCare Inc [ MODV]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
1 W 4TH STREET, SUITE 740
3. Date of Earliest Transaction (MM/DD/YY)
03/07/2025
(Street)
WINSTON-SALEM, NC27101
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, par value $0.001 per share ( 1 ) 2,130,000 I By: AI Catalyst Fund, LP ( 2 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Mounts Gonzales David
1 W 4TH STREET
SUITE 740
WINSTON-SALEM, NC27101
X X
AI Catalyst Fund GP, LLC
1 W 4TH STREET
SUITE 740
WINSTON-SALEM, NC27101
X X
Signatures
/s/ David Mounts Gonzales 03/17/2025
Signature of Reporting Person Date
AI Catalyst Fund GP, LLC, By: /s/ David Mounts Gonzales, President and Sole Managing Member 03/17/2025
Signature of Reporting Person Date
Explanation of Responses:
( 1 )This Form 3 is filed jointly by AI Catalyst Fund GP, LLC ("AICF GP") and David Mounts Gonzales (collectively, the "Reporting Persons"). Each Reporting Person disclaims beneficial ownership of the securities reported herein except to the extent of his or its pecuniary interest therein, and this report shall not be deemed to be an admission that any Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
( 2 )Securities owned directly by AI Catalyst Fund, LP ("AICF"). AICF GP is the general partner of AICF. Mr. Mounts Gonzales is the President and Sole Managing Member of AICF GP. As a result of these relationships, each of AICF GP and Mr. Mounts Gonzales may be deemed to beneficially own the securities owned directly by AICF.

Remarks:
David Mounts Gonzales is a director of the Issuer. For purposes of Section 16 of the Securities Exchange Act of 1934, as amended, each AICF and AICF GP may be deemed a director by deputization by virtue of its representation on the Board of Directors of the Issuer.

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 4(b)(v).
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