0001547903-17-000086.txt : 20170606 0001547903-17-000086.hdr.sgml : 20170606 20170606165952 ACCESSION NUMBER: 0001547903-17-000086 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170510 FILED AS OF DATE: 20170606 DATE AS OF CHANGE: 20170606 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: Pollitzer Adam CENTRAL INDEX KEY: 0001706001 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36174 FILM NUMBER: 17894749 MAIL ADDRESS: STREET 1: 2100 POWELL STREET STREET 2: 12TH FLOOR CITY: EMERYVILLE STATE: CA ZIP: 94608 4/A 1 wf-form4a_149678277571473.xml FORM 4/A X0306 4/A 2017-05-10 2017-05-12 0 0001547903 NMI Holdings, Inc. NMIH 0001706001 Pollitzer Adam C/O NMI HOLDINGS, INC. 2100 POWELL ST., 12TH FLOOR EMERYVILLE CA 94608 0 1 0 0 EVP, Chief Financial Officer Stock Option (right to buy) 10.8 2017-05-10 4 A 0 68893 0 A 2027-05-10 Class A Common Shares, $0.01 par value per share 68893.0 68893 D Includes 45,745 options not included on the reporting person's Form 4 filed on May 12, 2017. Granted pursuant to the NMIH 2012 Stock Incentive Plan. The options vest in three equal annual installments beginning on May 10, 2018. /s/ Nicole Sanchez as Attorney-in-Fact 2017-06-06