1. Name and Address of Reporting Person * |
Â
Norberg Julie |
|
2. Date of Event Requiring Statement (Month/Day/Year) 08/15/2017 |
3. Issuer Name and Ticker or Trading Symbol NMI Holdings, Inc. [NMIH]
|
C/O NMI HOLDINGS, INC, 2100 POWELL ST., 12TH FL. |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director |
_____ 10% Owner |
__X__ Officer (give title below) |
_____ Other (specify below) |
Vice President, Controller |
|
5. If Amendment, Date Original Filed(Month/Day/Year)
|
EMERYVILLE, CA 94608 |
6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
|
Table I - Non-Derivative Securities Beneficially Owned |
|
1.Title of Security (Instr. 4) |
2. Amount of Securities Beneficially Owned (Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) |
4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A Common Shares, $0.01 par value per share
|
3,936
(1)
|
D
|
Â
|
Class A Common Shares, $0.01 par value per share
|
14,522
(2)
|
D
|
Â
|
Class A Common Shares, $0.01 par value per share
|
9,847
(3)
|
D
|
Â
|
|
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Stock Option (right to buy)
|
Â
(4)
|
11/07/2022 |
Class A Common Shares, $0.01 par value per share
|
8,000
|
$
10
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(5)
|
02/14/2023 |
Class A Common Shares, $0.01 par value per share
|
4,000
|
$
11.75
|
D
|
Â
|
Stock Option (right to buy)
|
Â
(6)
|
02/12/2024 |
Class A Common Shares, $0.01 par value per share
|
4,600
|
$
12.32
|
D
|
Â
|
* |
If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) |
Represents restricted stock units granted pursuant to the NMI Holdings, Inc. 2014 Omnibus Incentive Plan, as amended. The shares underlying these restricted stock units vest on the third anniversary of the date of grant, which grant occurred on March 9, 2015. |
(2) |
Represents restricted stock units granted pursuant to the NMI Holdings, Inc. 2014 Omnibus Incentive Plan, as amended. The shares underlying these restricted stock units vest in equal installments on the second and third anniversaries of the date of grant, which grant occurred on March 14, 2016. |
(3) |
Represents restricted stock units granted pursuant to the NMI Holdings, Inc. 2014 Omnibus Incentive Plan, as amended. The shares underlying these restricted stock units vest in equal installments on each of the first, second and third anniversaries of the date of grant, which grant occurred on March 15, 2017. |
(4) |
Granted pursuant to the NMI Holdings, Inc. 2012 Stock Incentive Plan. The stock option award is fully vested and exercisable. |
(5) |
Granted pursuant to the NMI Holdings, Inc. 2012 Stock Incentive Plan. The stock option award is fully vested and exercisable. |
(6) |
Granted pursuant to the NMI Holdings, Inc. 2012 Stock Incentive Plan. The stock option award is fully vested and exercisable. |