SEC Form 4 · accession 0001547903-19-000023
NMI Holdings, Inc. · NMIH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Adam Pollitzer
Officer — EVP, Chief Financial Officer
Period of report
Feb 13, 2019
Accepted (ET)
Feb 15, 2019 · 5:13 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 |
|---|---|---|---|---|---|---|---|---|
| Restricted Stock Unit (right to receive)F1,F2 | Feb 13, 2019 | A | 30,419 | $0.00 | A | 215,110 | 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 | $22.19 | Feb 13, 2019 | A | 25,430 | A | — | Feb 13, 2029 | Class A Common Shares, $0.01 par value per share | 25,430 | 25,430 | D |
Explanation of responses
- F1Represents restricted stock units granted pursuant to the NMIH Amended and Restated 2014 Omnibus Incentive Plan on February 13, 2019. The restricted stock units vest in three equal annual installments beginning on February 13, 2020.
- F2Represents 4,073 class A common shares and 211,037 unvested restricted stock units.
- F3Granted pursuant to the NMIH 2012 Stock Incentive Plan. The option vests in three equal annual installments beginning on February 13, 2020.