SEC Form 4 · accession 0001547903-16-000246
NMI Holdings, Inc. · NMIH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Curry Montgomery
Director
Period of report
May 12, 2016
Accepted (ET)
May 16, 2016 · 5:12 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 14, 2016 | M | 6,031 | $5.94 | D | 6,145 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom StockF2 | — | May 14, 2016 | M | 6,031 | D | May 14, 2016 | May 14, 2016 | Class A Common Shares, $0.01 par value per share | 6,031 | 0 | D |
| Phantom StockF2 | $0.00 | May 12, 2016 | A | 8,169 | A | May 12, 2017 | May 12, 2017 | Class A Common Shares, $0.01 par value per share | 8,169 | 8,169 | D |
Explanation of responses
- F1This transaction represents a deemed sale of underlying stock to the issuer by the reporting person and settlement of phantom stock for cash. No shares of stock were issued to the reporting person.
- F2Each share of phantom stock is the economic equivalent of one share of NMIH common stock.