0001547903-21-000050.txt : 20210217 0001547903-21-000050.hdr.sgml : 20210217 20210217202305 ACCESSION NUMBER: 0001547903-21-000050 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210212 FILED AS OF DATE: 20210217 DATE AS OF CHANGE: 20210217 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: 21647212 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_161361135492255.xml FORM 4 X0306 4 2021-02-12 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 Class A Common Shares, $0.01 par value per share 2021-02-12 4 F 0 2827 0 D 78218 D Class A Common Shares, $0.01 par value per share 2021-02-13 4 F 0 3524 0 D 74694 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 12, 2020, at a net settlement price equal to the closing stock price on February 12, 2021. Such 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 12, 2021. Such restricted stock units vest in three equal annual installments beginning on February 13, 2020. Represents 38,706 class A common shares and 35,988 unvested restricted stock units. /s/ Nicole C. Sanchez as Attorney-in-Fact 2021-02-17