SEC Form 4 · accession 0001562180-17-000360
MGIC INVESTMENT CORP · MTG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Timothy J. Mattke
Officer — Executive Vice Preident & CFO
Period of report
Jan 23, 2017
Accepted (ET)
Jan 25, 2017 · 5:13 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000876437
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jan 23, 2017 | A | 105,600 | $0.00 | A | 494,841 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common StockF6,F3,F4,F5 | $0.00 | holding | — | — | — | — | — | Common Stock | 866 | 957 | I |
Explanation of responses
- F1These share units are subject to certain restrictions, and vest to the extent such restrictions lapse. Vesting of these share units occurs on March 4, 2020, based on certain performance standards. If it is not possible to determine whether the performance standards have been met on such vesting date, the vesting date will be extended until such determination can be made. Any of these share units which have not vested on March 4, 2020 will be forfeited
- F2These share units were awarded to the reporting person pursuant to the Issuer's 2015 Omnibus Incentive Plan and no price was paid by the reporting person for the share units.
- F3The conversion price varies with the price of the Issuer's common stock. At any given time, the conversion price is equal to the closing price of the Issuer's common stock on the New York Stock Exchange on the previous trading day.
- F4These derivative securities may be exercised at any time.
- F5These derivative securities do not have any expiration date.
- F6Balance as of December 31, 2016
Remarks
This Form 5 is being signed by the reporting person's attorney-in-fact pursuant to a previously filed power of attorney.