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