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