0001547903-16-000253.txt : 20160526 0001547903-16-000253.hdr.sgml : 20160526 20160526192057 ACCESSION NUMBER: 0001547903-16-000253 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160526 FILED AS OF DATE: 20160526 DATE AS OF CHANGE: 20160526 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: 161679698 MAIL ADDRESS: STREET 1: C/O NMI STREET 2: 2100 POWELL STREET, 12TH FLOOR CITY: EMERYVILLE STATE: CA ZIP: 94608 4 1 wf-form4_146430484390365.xml FORM 4 X0306 4 2016-05-26 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 2016-05-26 4 P 0 5000 6.12 A 25000 I By LLC Class A Common Shares, $0.01 par value per share 77467 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 The common stock was purchased by Greenrange Partners LLC in a series of open market transactions on the transaction date, each at a purchase price of $6.12. The reporting person undertakes to provide, upon request by the SEC staff, the issuer, or a security holder of the issuer, full information regarding the shares purchased. The common stock was purchased by Greenrange Partners LLC, a venture capital investment company, for which the reporting person serves as principal. As principal, the reporting person may be deemed to beneficially own the shares of stock held by Greenrange Partners LLC. Represents 59,298 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 in the sole trustee and sole beneficiary and 8,169 unvested restricted stock units. /s/ Nicole C. Sanchez as Attorney-in-Fact 2016-05-26