SEC Form 4/A · accession 0001562180-16-003222
MGIC INVESTMENT CORP · MTG
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
Gary A. Poliner
Director
Period of report
Sep 30, 2016
Accepted (ET)
Oct 5, 2016 · 5:12 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,F2,F5,F3,F4,F6 | — | Sep 30, 2016 | A | 6,781 | A | Feb 1, 2017 | — | Common Stock | 6,781 | 79,642 | 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.
- F2This amended Form 4 is being filed to correct the total number of Share Units beneficially owned by the reporting person following this transaction.
- F3These 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.)
- F4These Share Units are settled in cash, on a specified date, unless a qualified election for later distribution is made by the reporting person.
- F5These 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.
- F6These shares do not expire on a fixed date.
Remarks
This Form 4/A is being signed by the reporting person's attorney-in-fact pursuant to a previously filed power of attorney.