0001547903-17-000073.txt : 20170515
0001547903-17-000073.hdr.sgml : 20170515
20170515172135
ACCESSION NUMBER: 0001547903-17-000073
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170511
FILED AS OF DATE: 20170515
DATE AS OF CHANGE: 20170515
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: Montgomery Michael Curry
CENTRAL INDEX KEY: 0001591148
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36174
FILM NUMBER: 17845925
MAIL ADDRESS:
STREET 1: C/O NMI HOLDINGS, INC., 2100 POWELL ST.
STREET 2: 12TH FLOOR
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
FORMER NAME:
FORMER CONFORMED NAME: Montogmery Michael Curry
DATE OF NAME CHANGE: 20131105
4
1
wf-form4_149488327643806.xml
FORM 4
X0306
4
2017-05-11
0
0001547903
NMI Holdings, Inc.
NMIH
0001591148
Montgomery Michael Curry
C/O NMI HOLDINGS, INC.
2100 POWELL STREET, 12TH FL.
EMERYVILLE
CA
94608
1
0
0
0
Restricted Stock Unit (right to receive)
2017-05-11
4
A
0
7239
0
A
13384
D
Class A Common Shares, $0.01 par value per share
2017-05-12
4
M
0
8169
10.85
D
13384
D
Phantom Stock
0.0
2017-05-12
4
M
0
8169
D
2017-05-12
2017-05-12
Class A Common Shares, $0.01 par value per share
8169.0
0
D
Represents restricted stock units granted pursuant to the Amended and Restated 2014 Omnibus Incentive Plan on May 11, 2017. The restricted stock units vest on the first anniversary of the grant date.
This transaction represents a deemed sale of underlying stock to the issuer by the reporting person and settlement of phantom stock for cash. No shares of stock were issued to the reporting person.
Represents 6,145 class A common shares and 7,239 unvested restricted stock units.
Each share of phantom stock is the economic equivalent of one share of NMIH common stock.
/s/ Nicole C. Sanchez as Attorney-in-Fact
2017-05-15