0001547903-16-000272.txt : 20160830 0001547903-16-000272.hdr.sgml : 20160830 20160830162101 ACCESSION NUMBER: 0001547903-16-000272 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160826 FILED AS OF DATE: 20160830 DATE AS OF CHANGE: 20160830 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OZANNE JAMES CENTRAL INDEX KEY: 0001245515 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36174 FILM NUMBER: 161860914 MAIL ADDRESS: STREET 1: C/O NMI STREET 2: 2100 POWELL STREET, 12TH FLOOR CITY: EMERYVILLE STATE: CA ZIP: 94608 4 1 wf-form4_147258844554526.xml FORM 4 X0306 4 2016-08-26 0 0001547903 NMI Holdings, Inc. NMIH 0001245515 OZANNE JAMES C/O NMI HOLDINGS, INC. 2100 POWELL STREET, 12TH FL. EMERYVILLE CA 94608 1 0 0 0 Class A Common Shares, $0.01 par value per share 2016-08-26 4 P 0 5000 7.92 A 35000 I By LLC Class A Common Shares, $0.01 par value per share 77467 D Class A Common Shares, $0.01 par value per share 10000 I By Susan A. Ozanne Family Trust, of which Mr. Ozanne and his wife are co-trustees and beneficiaries The common stock was purchased in an open market transaction on the transaction date, with each share purchased at a price of $7.92. The reporting person undertakes to provide upon request full information regarding the purchase. The common stock was purchased by Greenrange Partners LLC, a venture capital investment company, for which the reporting person serves as principal. As a principal, the reporting person may be deemed to beneficially own the shares of stock held by Greenrange Partners LLC. Represents 59,298 class A common shares, 10,000 class A common shares held by the James H. Ozanne Revocable Trust, a living trust of which the reporting person is in the sole trustee and sole beneficiary and 8,169 unvested restricted stock units. /s/ Nicole C. Sanchez as Attorney-in-Fact 2016-08-30