SEC Form 4 · accession 0001562180-17-001146
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
Mar 4, 2017
Accepted (ET)
Mar 7, 2017 · 1:20 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 Stock | Mar 4, 2017 | F | 14,047 | $10.66 | D | 468,890 | D | |
| Common Stock | Mar 4, 2017 | F | 15,904 | $10.66 | D | 452,986 | D | |
| Common Stock | Mar 4, 2017 | F | 12,809 | $10.66 | D | 440,177 | D | |
| Common StockF1 | Mar 4, 2017 | D | 3,936 | — | D | 436,241 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common StockF5,F2,F3,F4 | — | holding | — | — | — | — | — | Common Stock | 866 | 957 | I |
Explanation of responses
- F1These shares were forfeited back to the Issuer and no price was paid or received.
- F2The 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.
- F3These derivative securities may be exercised at any time.
- F4These derivative securities do not have any expiration date.
- F5Balance as of December 31, 2016
Remarks
This Form 4 is being signed by the reporting person's attorney-in-fact pursuant to a previously filed power of attorney.