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