0001547903-19-000084.txt : 20190513 0001547903-19-000084.hdr.sgml : 20190513 20190513191013 ACCESSION NUMBER: 0001547903-19-000084 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190509 FILED AS OF DATE: 20190513 DATE AS OF CHANGE: 20190513 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: 19820057 MAIL ADDRESS: STREET 1: C/O NMI STREET 2: 2100 POWELL STREET, 12TH FLOOR CITY: EMERYVILLE STATE: CA ZIP: 94608 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 4 1 wf-form4_155778899864344.xml FORM 4 X0306 4 2019-05-09 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 Restricted Stock Unit (right to receive) 2019-05-09 4 A 0 4354 0 A 87686 D Class A Common Shares, $0.01 par value per share 35000 I By LLC Represents restricted stock units granted pursuant to the NMI Holdings, Inc. 2012 Stock Incentive Plan on May 9, 2019. The restricted stock units vest on the first anniversary of the grant date. Represents 83,332 class A common shares and 4,354 unvested restricted stock units. /s/ Nicole C. Sanchez as Attorney-in-Fact 2019-05-13