SEC Form 4 · accession 0001547903-16-000274
NMI Holdings, Inc. · NMIH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William J Leatherberry
Officer — EVP, General Counsel
Period of report
Sep 10, 2016
Accepted (ET)
Sep 13, 2016 · 5:26 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 | Sep 10, 2016 | M | 2,646 | $0.00 | A | 137,371 | D | |
| Class A Common Shares, $0.01 par value per shareF2 | Sep 10, 2016 | F | 995 | $7.65 | D | 136,376 | D | |
| Class A Common Shares, $0.01 par value per share | holding | — | — | — | 10,000 | I | By spouse. |
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 | $0.00 | Sep 10, 2016 | M | 2,646 | D | — | — | Class A Common Shares, $0.01 par value per share | 2,646 | 2,648 | D |
Explanation of responses
- F1Restricted stock units convert into common stock on a one-for-one basis.
- F2Represents 55,532 Class A common shares and 80,844 unvested restricted stock units.
- F3Granted pursuant to the NMI Holdings, Inc. 2012 Stock Incentive Plan on September 10, 2014. The shares underlying these restricted stock units vest in three equal annual installments beginning on September 10, 2015.