SEC Form 4 · accession 0001562180-16-003212
MGIC INVESTMENT CORP · MTG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Gary A. Poliner
Director
Period of report
Sep 30, 2016
Accepted (ET)
Oct 4, 2016 · 4:30 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000876437
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Share UnitsF1,F4,F2,F3,F5 | — | Sep 30, 2016 | A | 6,781 | A | Feb 1, 2017 | — | Common Stock | 6,781 | 80,298 | D |
Explanation of responses
- F1The reporting person participates in the MGIC Investment Corporation Deferred Compensation Plan for Non-Employee Directors under which units corresponding to shares of Common Stock of the Issuer ("Share Units") are awarded to the reporting person.
- F2These Share Units do not have a specified dollar-denominated exercise or conversion price. (Their value is based, on as one-for-one basis, on the price of the Issuer's common stock on the New York Stock Exchange.)
- F3These Share Units are settled in cash, on a specified date, unless a qualified election for later distribution is made by the reporting person.
- F4These Share Units were awarded to the reporting person pursuant to the Issuer's Deferred Compensation Plan for Non-Employee Directors and no price was paid by the reporting person for the Share Units.
- F5These shares do not expire on a fixed date.
Remarks
This Form 4 is being signed by the reporting person's attorney-in-fact pursuant to a previously filed power of attorney.