SEC Form 4 · accession 0001547903-15-000101
NMI Holdings, Inc. · NMIH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John Brandon Osmon
Director
Period of report
May 14, 2015
Accepted (ET)
May 20, 2015 · 4:15 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001547903
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom StockF2,F1 | — | May 14, 2015 | A | 6,031 | A | May 14, 2016 | May 14, 2016 | Class A Common Shares, $0.01 par value per share | 6,031 | 6,031 | D |
Explanation of responses
- F1Each share of phantom stock is the economic equivalent of one share of NMIH common stock.
- F2In connection with Mr. Osmon's employment by Hayman Capital Management, L.P., Hayman Capital Master Fund, L.P. may be deemed to beneficially own securities of the Issuer beneficially owned by Mr. Osmon. Each of the foregoing persons disclaims beneficial ownership of the securities reported herein except to the extent of his or its pecuniary interest in such securities, and the inclusion of such securities in this report shall not be deemed an admission of beneficial ownership for purposes of Section 16 or any other purpose.