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