0001547903-21-000014.txt : 20210209
0001547903-21-000014.hdr.sgml : 20210209
20210209190725
ACCESSION NUMBER: 0001547903-21-000014
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210207
FILED AS OF DATE: 20210209
DATE AS OF CHANGE: 20210209
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: 21608515
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_161291563210067.xml
FORM 4
X0306
4
2021-02-07
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
2021-02-07
4
F
0
4463
0
D
115265
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 5, 2021. Such restricted stock units vested in full on February 7, 2021.
Represents 4,057 class A common shares and 111,208 unvested restricted stock units.
/s/ Nicole Sanchez as Attorney-in-Fact
2021-02-09