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