SEC Form 4 · accession 0001547903-15-000086
NMI Holdings, Inc. · NMIH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert Hamilton Fore III
Officer — Vice President, Controller
Period of report
May 8, 2015
Accepted (ET)
May 12, 2015 · 6:07 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 | May 8, 2015 | M | 3,333 | $0.00 | A | 18,090 | D | |
| Class A Common Shares, $0.01 par value per shareF3 | May 11, 2015 | S | 1,224 | $7.81 | D | 16,866 | D |
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,F4 | — | May 8, 2015 | M | 3,333 | D | — | — | Class A Common Shares, $0.01 par value per share | 3,333 | 6,667 | D |
Explanation of responses
- F1Restricted stock units convert into common stock on a one-for-one basis.
- F2Represents shares sold pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 16, 2014 to pay withholding taxes due in connection with the vesting of certain restricted stock units on May 8, 2015.
- F3Represents 2,109 class A common shares and 14,757 unvested restricted stock units.
- F4On May 8, 2014, the reporting person was granted 10,000 restricted stock units, vesting in three equal annual installments beginning on the first anniversary of the grant date.