0001547903-16-000274.txt : 20160913 0001547903-16-000274.hdr.sgml : 20160913 20160913172658 ACCESSION NUMBER: 0001547903-16-000274 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160910 FILED AS OF DATE: 20160913 DATE AS OF CHANGE: 20160913 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: Leatherberry William J CENTRAL INDEX KEY: 0001422024 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36174 FILM NUMBER: 161883563 MAIL ADDRESS: STREET 1: 2100 POWELL STREET STREET 2: 12TH FLOOR CITY: EMERYVILLE STATE: CA ZIP: 94608 4 1 wf-form4_147380200582930.xml FORM 4 X0306 4 2016-09-10 0 0001547903 NMI Holdings, Inc. NMIH 0001422024 Leatherberry William J C/O NMI HOLDINGS, INC. 2100 POWELL ST. EMERYVILLE CA 94608 0 1 0 0 EVP, General Counsel Class A Common Shares, $0.01 par value per share 2016-09-10 4 M 0 2646 0 A 137371 D Class A Common Shares, $0.01 par value per share 2016-09-10 4 F 0 995 7.65 D 136376 D Class A Common Shares, $0.01 par value per share 10000 I By spouse. Restricted Stock Unit (right to receive) 0.0 2016-09-10 4 M 0 2646 0 D Class A Common Shares, $0.01 par value per share 2646.0 2648 D Restricted stock units convert into common stock on a one-for-one basis. Represents 55,532 Class A common shares and 80,844 unvested restricted stock units. Granted pursuant to the NMI Holdings, Inc. 2012 Stock Incentive Plan on September 10, 2014. The shares underlying these restricted stock units vest in three equal annual installments beginning on September 10, 2015. /s/ Nicole C. Sanchez as Attorney-in-Fact 2016-09-13