0001547903-18-000050.txt : 20180319
0001547903-18-000050.hdr.sgml : 20180319
20180319175420
ACCESSION NUMBER: 0001547903-18-000050
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180315
FILED AS OF DATE: 20180319
DATE AS OF CHANGE: 20180319
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pollitzer Adam
CENTRAL INDEX KEY: 0001706001
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36174
FILM NUMBER: 18700030
MAIL ADDRESS:
STREET 1: 2100 POWELL STREET
STREET 2: 12TH FLOOR
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NMI Holdings, Inc.
CENTRAL INDEX KEY: 0001547903
STANDARD INDUSTRIAL CLASSIFICATION: SURETY INSURANCE [6351]
IRS NUMBER: 454914248
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2100 POWELL STREET, 12TH FLOOR
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
BUSINESS PHONE: (855) 530-6642
MAIL ADDRESS:
STREET 1: 2100 POWELL STREET, 12TH FLOOR
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
4
1
wf-form4_152149644742415.xml
FORM 4
X0306
4
2018-03-15
0
0001547903
NMI Holdings, Inc.
NMIH
0001706001
Pollitzer Adam
C/O NMI HOLDINGS, INC.
2100 POWELL ST., 12TH FLOOR
EMERYVILLE
CA
94608
0
1
0
0
EVP, Chief Financial Officer
Stock Option (right to buy)
16.0
2018-03-15
4
A
0
29152
0
A
2028-03-15
Class A Common Shares, $0.01 par value per share
29152.0
29152
D
Granted pursuant to the NMIH 2012 Stock Incentive Plan. The option vests in three equal annual installments beginning on March 15, 2019.
/s/ Nicole Sanchez as Attorney-in-Fact
2018-03-19