SEC Form 4 · accession 0001547903-17-000133
NMI Holdings, Inc. · NMIH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bradley M Shuster
Officer — CEO · Director
Period of report
Nov 10, 2017
Accepted (ET)
Nov 14, 2017 · 7:03 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 share | Nov 10, 2017 | M | 165,000 | $0.00 | A | 636,165 | D | |
| Class A Common Shares, $0.01 par value per shareF1,F2 | Nov 10, 2017 | F | 78,507 | $15.80 | D | 557,658 | 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 | Nov 10, 2017 | M | 165,000 | D | — | Apr 24, 2022 | Class A Common Shares, $0.01 par value per share | 165,000 | 165,000 | 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 April 24, 2012 at a net settlement price equal to the closing stock price on November 10, 2017.
- F2Represents 384,136 class A common shares and 173,522 unvested restricted stock units.
- F3Granted pursuant to the NMI Holdings, Inc. 2012 Stock Incentive Plan on April 24, 2012. The shares underlying these restricted stock units were scheduled to vest when the per share price of NMIH common stock equaled or exceeded $14.00 for a 30-day trading period.