SEC Form 4 · accession 0001547903-17-000023
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 10, 2017
Accepted (ET)
Feb 14, 2017 · 8:58 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 | Feb 10, 2017 | F | 9,404 | $0.00 | D | 99,420 | D | |
| Class A Common Shares, $0.01 par value per shareF2 | Feb 12, 2017 | F | 1,428 | $0.00 | D | 97,992 | D | |
| Class A Common Shares, $0.01 par value per shareF3 | Feb 12, 2017 | M | 3,168 | $0.00 | A | 101,160 | D | |
| Class A Common Shares, $0.01 par value per shareF4,F5 | Feb 12, 2017 | F | 1,508 | $0.00 | D | 99,652 | 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 | $0.00 | Feb 12, 2017 | M | 3,168 | D | — | — | Class A Common Shares, $0.01 par value per share | 3,168 | 0 | 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 10, 2016 at a net settlement price equal to the closing stock price on February 10, 2017. Such restricted stock units vest in three equal annual installments beginning on February 10, 2017.
- F2Represents 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 at a net settlement price equal to the closing stock price on February 10, 2017. Such restricted stock units vest in three equal annual installments beginning on February 12, 2016.
- F3Granted pursuant to the NMIH 2012 Stock Incentive Plan on February 12, 2014. The shares underlying these restricted stock units vest in three equal annual installments beginning on February 12, 2015.
- F4Represents 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, 2014 at a net settlement price equal to the closing stock price on February 10, 2017.
- F5Represents class 41,251 Class A common shares and 58,401 unvested restricted stock units.