0001547903-20-000048.txt : 20200512
0001547903-20-000048.hdr.sgml : 20200512
20200512172225
ACCESSION NUMBER: 0001547903-20-000048
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200510
FILED AS OF DATE: 20200512
DATE AS OF CHANGE: 20200512
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: 20870151
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_158931852801277.xml
FORM 4
X0306
4
2020-05-10
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
2020-05-10
4
F
0
3826
0
D
169925
D
Class A Common Shares, $0.01 par value per share
2020-05-10
4
F
0
18363
0
D
151562
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 May 10, 2017, at a net settlement price equal to the closing stock price on May 8, 2020. Such restricted stock units vested in full on May 10, 2020.
Represents shares withheld by NMIH to to satisfy withholding taxes due in connection with the vesting of certain restricted stock units granted to the reporting person on May 10, 2017, at a net settlement price equal to the closing stock price on May 8, 2020. Such restricted stock units vest in five equal annual installments beginning on May 10, 2018.
Represents 31,824 class A common shares and 119,738 unvested restricted stock units.
/s/ Nicole Sanchez as Attorney-in-Fact
2020-05-12