SEC Form 4/A · accession 0001547903-17-000086
NMI Holdings, Inc. · NMIH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Adam Pollitzer
Officer — EVP, Chief Financial Officer
Period of report
May 10, 2017
Accepted (ET)
Jun 6, 2017 · 4:59 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001547903
Table I — non-derivative securities
No Table I lines on this filing.
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)F1,F2 | $10.80 | May 10, 2017 | A | 68,893 | A | — | May 10, 2027 | Class A Common Shares, $0.01 par value per share | 68,893 | 68,893 | D |
Explanation of responses
- F1Includes 45,745 options not included on the reporting person's Form 4 filed on May 12, 2017.
- F2Granted pursuant to the NMIH 2012 Stock Incentive Plan. The options vest in three equal annual installments beginning on May 10, 2018.