0001547903-17-000012.txt : 20170210 0001547903-17-000012.hdr.sgml : 20170210 20170210182116 ACCESSION NUMBER: 0001547903-17-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170209 FILED AS OF DATE: 20170210 DATE AS OF CHANGE: 20170210 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: Mathis Patrick L CENTRAL INDEX KEY: 0001591042 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36174 FILM NUMBER: 17595072 MAIL ADDRESS: STREET 1: C/O NMI HOLDINGS, INC. STREET 2: 2100 POWELL ST., 12TH FLOOR CITY: EMERYVILLE STATE: CA ZIP: 94608 4 1 wf-form4_148676885162025.xml FORM 4 X0306 4 2017-02-09 0 0001547903 NMI Holdings, Inc. NMIH 0001591042 Mathis Patrick L C/O NMI HOLDINGS, INC. 2100 POWELL STREET, 12TH FL. EMERYVILLE CA 94608 0 1 0 0 EVP, Chief Risk Officer Class A Common Shares, $0.01 par value per share 2017-02-09 4 A 0 17747 0 A 108824 D Stock Option (right to buy) 11.1 2017-02-09 4 A 0 50127 0 A 2027-02-09 Class A Common Shares, $0.01 par value per share 50127.0 50127 D Represents restricted stock units granted pursuant to the NMIH 2014 Omnibus Incentive Plan. The shares underlying these restricted stock units vest in three equal annual installments beginning on February 9, 2018. Represents 28,597 class A common shares and 80,227 unvested restricted stock units. Granted pursuant to the NMIH 2012 Stock Incentive Plan. The option vests in three equal annual installments beginning on February 9, 2018. /s/ Nicole C. Sanchez as Attorney-in-Fact 2017-02-10