0001547903-20-000013.txt : 20200211 0001547903-20-000013.hdr.sgml : 20200211 20200211160606 ACCESSION NUMBER: 0001547903-20-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200207 FILED AS OF DATE: 20200211 DATE AS OF CHANGE: 20200211 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: 20596582 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_158145514959639.xml FORM 4 X0306 4 2020-02-07 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 Class A Common Shares, $0.01 par value per share 2020-02-07 4 F 0 4370 0 D 161914 D Represents shares withheld by NMIH to satisfy withholding taxes due in connection with the vesting of certain restricted stock units granted to the reporting person on February 7, 2018 at a net settlement price equal to the closing stock price on February 7, 2020. Such restricted stock units vest in three equal installments beginning on February 7, 2019. Represents 4,148 class A common shares and 157,766 unvested restricted stock units. /s/ Nicole Sanchez as Attorney-in-Fact 2020-02-11