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