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