SEC Form 4 · accession 0001547903-16-000243
NMI Holdings, Inc. · NMIH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James Ozanne
Director
Period of report
May 12, 2016
Accepted (ET)
May 16, 2016 · 5:08 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 | May 12, 2016 | A | 8,169 | $0.00 | A | 77,467 | 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 | |
| Class A Common Shares, $0.01 par value per shareF3 | holding | — | — | — | 20,000 | I | By LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents restricted stock units granted pursuant to the NMIH 2014 Omnibus Incentive Plan on May 12, 2016. The restricted stock units vest on the first anniversary of the grant date.
- F2Represents 59,298 class A common shares, 10,000 class A common shares held by the James H. Ozanne Revocable Trust, a living trust of which the reporting person is in the sole trustee and sole beneficiary and 8,169 unvested restricted stock units.
- F3The common stock is held by Greenrange Partners LLC, a venture capital investment company, for which the reporting person serves as principal. As a principal, the reporting person may be deemed to beneficially own the shares of stock held by Greenrange Partners LLC.