SEC Form 4 · accession 0001547903-17-000012
NMI Holdings, Inc. · NMIH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick L Mathis
Officer — EVP, Chief Risk Officer
Period of report
Feb 9, 2017
Accepted (ET)
Feb 10, 2017 · 6:21 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 9, 2017 | A | 17,747 | $0.00 | A | 108,824 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F3 | $11.10 | Feb 9, 2017 | A | 50,127 | A | — | Feb 9, 2027 | Class A Common Shares, $0.01 par value per share | 50,127 | 50,127 | D |
Explanation of responses
- F1Represents restricted stock units granted pursuant to the NMIH 2014 Omnibus Incentive Plan. The shares underlying these restricted stock units vest in three equal annual installments beginning on February 9, 2018.
- F2Represents 28,597 class A common shares and 80,227 unvested restricted stock units.
- F3Granted pursuant to the NMIH 2012 Stock Incentive Plan. The option vests in three equal annual installments beginning on February 9, 2018.