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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Common Stock | $ 8.1 | 09/09/2016 | M(1) | 12,695.509 | (2) | (3) | Common Stock | 11,504.3259 | $ 7.34 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CULVER CURT S C/O MGIC INVESTMENT CORPORATION 250 EAST KILBOURN AVENUE MILWAUKEE, WI 53202 |
Dan D. Stilwell, Attorney-in-Fact | 10/24/2017 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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) | On September 9, 2016, the reporting person converted share units held by him in the Issuer's Profit Sharing and Savings Plan into shares of common stock of the Issuer and then transferred those shares of common stock into his individual retirement account through a rollover transaction. Although the conversion was reported in a Form 4 filed by the reporting person on September 13, 2016, subsequent Form 4s filed by the reporting person on February 14, 2017 and March 7, 2017 continued to erroneously report holdings in the Issuer's Profit Sharing and Savings Plan. This amended Form 4 is being filed to correct those errors. |
(2) | These derivative securities may be exercised at any time. |
(3) | These derivative securities do not have any expiration date. |
Remarks: This Form 4 is being signed by the reporting person's attorney-in-fact pursuant to a previously filed limited power of attorney. |