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