Statement of Changes in Beneficial Ownership (4)
February 14 2020 - 6:20PM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
SHUSTER BRADLEY M |
2. Issuer Name and Ticker or Trading Symbol
NMI Holdings, Inc.
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NMIH
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Executive Chairman |
(Last)
(First)
(Middle)
C/O NMI HOLDINGS, INC., 2100 POWELL STREET 12TH FL. |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/12/2020 |
(Street)
EMERYVILLE, CA 94608
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Restricted Stock Unit (right to receive) | 2/12/2020 | | A | | 38693 (1) | A | $0 | 527239 | D | |
Class A Common Shares, $0.01 par value per share | 2/12/2020 | | A | | 160472 | A | $0 (2) | 687711 | D | |
Class A Common Shares, $0.01 par value per share | 2/12/2020 | | F | | 79563 (3) | D | $0 | 608148 | D | |
Class A Common Shares, $0.01 par value per share | 2/13/2020 | | F | | 8097 (4) | D | $0 | 600051 (5) | D | |
Class A Common Shares, $0.01 par value per share | | | | | | | | 47150 | I | By Shuster Family Trust, of which Mr. Shuster and his wife are co-trustees and beneficiaries |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | Represents restricted stock units granted pursuant to the NMIH Amended and Restated 2014 Omnibus Incentive Plan on February 12, 2020. The restricted stock units vest in three equal annual installments beginning on February 12, 2021. |
(2) | In 2017, the reporting person was granted a multi-year performance-based RSU award ("PRSU Award"), split into two tranches of 128,378 RSUs each ("Tranche I and Tranche II"). The number of shares earned upon vesting could range from 0 to 125% of the applicable Tranche depending on the actual ROE achieved. On February 12, 2020, the Compensation Committee of the Issuer determined that the performance criteria for Tranche II had been achieved at 125% resulting in the vesting of Tranche II as reported. |
(3) | Represents shares withheld by NMIH to satisfying withholding taxes due in connection with Tranche II of the reporting person's PRSU Award at a net settlement price equal to the closing stock price on February 12, 2020. |
(4) | Represents shares withheld by NMIH to satisfy withholding taxes due in connection with the vesting of certain restricted stock units granted to the reporting person on February 13, 2019, at a net settlement price equal to the closing stock price on February 13, 2020. Such restricted stock units vest in three equal annual installments beginning on February 13, 2020. |
(5) | Represents 521,120 class A common shares and 78,931 unvested restricted stock units. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
SHUSTER BRADLEY M C/O NMI HOLDINGS, INC. 2100 POWELL STREET 12TH FL. EMERYVILLE, CA 94608 | X |
| Executive Chairman |
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Signatures
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/s/ Nicole C. Sanchez as Attorney-in-Fact | | 2/14/2020 |
**Signature of Reporting Person | Date |
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