0001547903-18-000015.txt : 20180209
0001547903-18-000015.hdr.sgml : 20180209
20180209170843
ACCESSION NUMBER: 0001547903-18-000015
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180207
FILED AS OF DATE: 20180209
DATE AS OF CHANGE: 20180209
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pollitzer Adam
CENTRAL INDEX KEY: 0001706001
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36174
FILM NUMBER: 18592823
MAIL ADDRESS:
STREET 1: 2100 POWELL STREET
STREET 2: 12TH FLOOR
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
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
4
1
wf-form4_151821410847213.xml
FORM 4
X0306
4
2018-02-07
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
Restricted Stock Unit (right to receive)
2018-02-07
4
A
0
25556
0
A
233889
D
Stock Option (right to buy)
18.7
2018-02-07
4
A
0
24395
0
A
2028-02-07
Class A Common Shares, $0.01 par value per share
24395.0
24395
D
Represents restricted stock units granted pursuant to the NMIH Amended and Restated 2014 Omnibus Incentive Plan on February 7, 2018. The restricted stock units vest in three equal annual installments beginning on February 7, 2019.
Represents 233,889 unvested restricted stock units.
Granted pursuant to the NMIH 2012 Stock Incentive Plan. The options vest in three equal annual installments beginning on February 7, 2019.
/s/ Nicole Sanchez as Attorney-in-Fact
2018-02-09