0001547903-20-000022.txt : 20200214 0001547903-20-000022.hdr.sgml : 20200214 20200214181002 ACCESSION NUMBER: 0001547903-20-000022 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200212 FILED AS OF DATE: 20200214 DATE AS OF CHANGE: 20200214 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: 20622399 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_158172178265921.xml FORM 4 X0306 4 2020-02-12 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) 2020-02-12 4 A 0 16864 0 A 178778 D Class A Common Shares, $0.01 par value per share 2020-02-13 4 F 0 5027 0 D 173751 D Represents restricted stock units granted pursuant to the NMIH Amended and Restated 2014 Omnibus Incentive Plan on February 12, 2020. The restricted stock units vest 40% on each of the first and second anniversaries of the grant date and 20% on the third anniversary of the grant date. 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 13, 2019, at a net settlement price equal to the closing stock price on February 13, 2020. Such restricted stock units vest in three equal annual installments beginning on February 13, 2020. Represents 9,260 class A common shares and 164,491 unvested restricted stock units. /s/ Nicole Sanchez as Attorney-in-Fact 2020-02-14