0001547903-19-000021.txt : 20190215 0001547903-19-000021.hdr.sgml : 20190215 20190215171159 ACCESSION NUMBER: 0001547903-19-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190213 FILED AS OF DATE: 20190215 DATE AS OF CHANGE: 20190215 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: 19612415 MAIL ADDRESS: STREET 1: C/O NMI HOLDINGS, INC. STREET 2: 2100 POWELL ST., 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_155026870133955.xml FORM 4 X0306 4 2019-02-13 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 Operating Officer Restricted Stock Unit (right to receive) 2019-02-13 4 A 0 21318 0 A 60950 D Stock Option (right to buy) 22.19 2019-02-13 4 A 0 17822 0 A 2029-02-13 Class A Common Shares, $0.01 par value per share 17822.0 17822 D Represents restricted stock units granted pursuant to the NMIH Amended and Restated 2014 Omnibus Incentive Plan on February 13, 2019. The restricted stock units vest in three equal annual installments beginning on February 13, 2020. Represents 18,374 class A common shares and 42,576 unvested restricted stock units. Granted pursuant to the NMIH 2012 Stock Incentive Plan. The option vests in three equal annual installments beginning on February 13, 2020. /s/ Nicole C. Sanchez as Attorney-in-Fact 2019-02-15