SEC Form 4/A · accession 0001562180-17-003314
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
Curt S Culver
Director
Period of report
Sep 9, 2016
Accepted (ET)
Oct 24, 2017 · 4:46 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common StockF2,F3 | $8.10 | Sep 9, 2016 | M | 12,696 | D | — | — | Common Stock | 11,504 | 0 | D |
Explanation of responses
- F1On September 9, 2016, the reporting person converted share units held by him in the Issuer's Profit Sharing and Savings Plan into shares of common stock of the Issuer and then transferred those shares of common stock into his individual retirement account through a rollover transaction. Although the conversion was reported in a Form 4 filed by the reporting person on September 13, 2016, subsequent Form 4s filed by the reporting person on February 14, 2017 and March 7, 2017 continued to erroneously report holdings in the Issuer's Profit Sharing and Savings Plan. This amended Form 4 is being filed to correct those errors.
- F2These derivative securities may be exercised at any time.
- F3These derivative securities do not have any expiration date.
Remarks
This Form 4 is being signed by the reporting person's attorney-in-fact pursuant to a previously filed limited power of attorney.