SEC Form 4 · accession 0001547903-16-000192
NMI Holdings, Inc. · NMIH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Claudia J Merkle
Officer — EVP, Chief Insurance Officer
Period of report
Feb 12, 2016
Accepted (ET)
Feb 17, 2016 · 8:34 pm EST
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 | Feb 12, 2016 | F | 1,314 | $0.00 | D | 107,061 | D | |
| Class A Common Shares, $0.01 par value per shareF3 | Feb 12, 2016 | M | 3,166 | $0.00 | A | 110,227 | D | |
| Class A Common Shares, $0.01 par value per shareF2,F4 | Feb 12, 2016 | F | 1,387 | $0.00 | D | 108,840 | 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)F3,F5 | $0.00 | Feb 12, 2016 | M | 3,166 | D | — | — | Class A Common Shares, $0.01 par value per share | 3,166 | 3,168 | D |
Explanation of responses
- F1Represents 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, 2015. Such restricted stock units vest in three equal annual installments beginning on February 12, 2016.
- F2Restricted stock units settled at a net settlement price equal to the closing stock price on February 12, 2016.
- F3Restricted stock units convert into common stock on a one-for-one basis.
- F4Represents 8,700 class A common shares and 100,140 unvested restricted stock units.
- F5Granted pursuant to the NMIH 2012 Stock Incentive Plan. The shares underlying these restricted stock units vest in three equal annual installments beginning on February 12, 2015.