0001547903-17-000088.txt : 20170609 0001547903-17-000088.hdr.sgml : 20170609 20170609171146 ACCESSION NUMBER: 0001547903-17-000088 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170609 FILED AS OF DATE: 20170609 DATE AS OF CHANGE: 20170609 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: Jones James G CENTRAL INDEX KEY: 0001289111 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36174 FILM NUMBER: 17903735 MAIL ADDRESS: STREET 1: C/O NMI HOLDINGS, INC. STREET 2: 2100 POWELL STREET, 12TH FLOOR CITY: EMERYVILLE STATE: CA ZIP: 94608 4 1 wf-form4_149704269068521.xml FORM 4 X0306 4 2017-06-09 0 0001547903 NMI Holdings, Inc. NMIH 0001289111 Jones James G 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 2017-06-09 4 S 0 10000 11.25 D 86271 D Class A Common Shares, $0.01 par value per share 57000 I By James G. Jones and Maria F. Jones Revocable Trust Class A Common Shares, $0.01 par value per share 20000 I By Jennie K. Jones Irrevocable Living Trust, of which the reporting person is the sole trustee Class A Common Shares, $0.01 par value per share 2000 I By Jaime C. Jones Irrevocable Living Trust, of which the reporting person is the sole trustee The common stock was held in an account as a joint tenancy with the reporting person's family member. Represents 79,032 class A common shares and 7,239 unvested restricted stock units. /s/ Nicole C. Sanchez as Attorney-in-Fact 2017-06-09