0001547903-15-000094.txt : 20150518
0001547903-15-000094.hdr.sgml : 20150518
20150518164532
ACCESSION NUMBER: 0001547903-15-000094
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150514
FILED AS OF DATE: 20150518
DATE AS OF CHANGE: 20150518
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NMI Holdings, Inc.
CENTRAL INDEX KEY: 0001547903
STANDARD INDUSTRIAL CLASSIFICATION: SURETY INSURANCE [6351]
IRS NUMBER: 454914248
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2100 POWELL STREET, 12TH FLOOR
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
BUSINESS PHONE: (855) 530-6642
MAIL ADDRESS:
STREET 1: 2100 POWELL STREET, 12TH FLOOR
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: OZANNE JAMES
CENTRAL INDEX KEY: 0001245515
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36174
FILM NUMBER: 15873773
MAIL ADDRESS:
STREET 1: C/O UNITED RENTALS, INC
STREET 2: 100 FIRST STAMFORD PLACE, 7TH FLOOR
CITY: STAMFORD
STATE: CT
ZIP: 06902
4
1
wf-form4_143198192234649.xml
FORM 4
X0306
4
2015-05-14
0
0001547903
NMI Holdings, Inc.
NMIH
0001245515
OZANNE JAMES
C/O NMI HOLDINGS, INC.
2100 POWELL STREET, 12TH FL.
EMERYVILLE
CA
94608
1
0
0
0
Class A Common Shares, $0.01 par value per share
2015-05-14
4
A
0
6031
0
A
69298
D
Class A Common Shares, $0.01 par value per share
10000
I
By Susan A. Ozanne Family Trust, of which Mr. Ozanne and his wife are co-trustees and beneficiaries
Represents restricted stock units granted pursuant to the NMIH 2014 Omnibus Incentive Plan on May 14, 2015. The restricted stock units vest on the first anniversary of the grant date.
Represents 53,267 class A common shares, 10,000 class A common shares held by the James H. Ozanne Revocable Trust, a living trust of which the reporting person is the sole trustee and sole beneficiary, and 6,031 unvested restricted stock units.
/s/ Nicole C. Sanchez as Attorney-in-Fact
2015-05-18