SEC Form 4 · accession 0001547903-15-000061
NMI Holdings, Inc. · NMIH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James Ozanne
Director
Period of report
Apr 24, 2015
Accepted (ET)
Apr 28, 2015 · 7:08 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001547903
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common Shares, $0.01 par value per shareF1,F2 | Apr 24, 2015 | M | 30,937 | $0.00 | A | 58,327 | D | |
| Class A Common Shares, $0.01 par value per share | holding | — | — | — | 10,000 | I | By Susan A. Ozanne Family Trust, of which Mr. Ozanne and his wife are co-trustees and beneficiaries |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock Unit (right to receive)F1,F3 | $0.00 | Apr 24, 2015 | M | 30,937 | D | — | — | Class A Common Shares, $0.01 par value per share | 30,937 | 0 | D |
Explanation of responses
- F1Restricted stock units convert into common stock on a one-for-one basis.
- F2Represents 48,327 shares held in the name of the reporting person and 10,000 shares held by the James H. Ozanne Revocable Trust, a living trust of which the reporting person is the sole trustee and sole beneficiary.
- F3Granted pursuant to the NMIH 2012 Stock Incentive Plan on April 24, 2012. The restricted stock units vest in equal installments on the second and third anniversaries of the grant date.