SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Miosi Salvatore A

(Last) (First) (Middle)
C/O MGIC INVESTMENT CORPORATION
250 EAST KILBOURN AVENUE

(Street)
MILWAUKEE WI 53202

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/20/2016
3. Issuer Name and Ticker or Trading Symbol
MGIC INVESTMENT CORP [ MTG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP - Bus Strat & Field Ops
5. If Amendment, Date of Original Filed (Month/Day/Year)
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)
Common Stock 150,440(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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: 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 Units(2) (3) (4) Common Stock(5) 2,398.665 (6) I By Issuer's Profit Sharing and Savings Plan
Explanation of Responses:
1. These securities include 76,587 shares of common stock of the Issuer that are subject to certain restrictions, become vested only if such restrictions lapse, and are subject to forfeiture under certain circumstances.
2. The reporting person owns share units in a company stock fund under the Issuer's Profit Sharing and Savings Plan. Share units in the company stock fund do not correspond precisely on a one-for-one basis with shares of common stock of the Issuer,
3. These securities are exercisable at any time.
4. These securities have no expiration date.
5. Balance as of October 12, 2016.
6. The conversion price varies with the price of the Issuer's common stock. At any given time, the conversion price is equal to the closing price of the Issuer's common stock on the New York Stock Exchange on the previous trading day.
Remarks:
This Form 3 is being signed by the reporting person's attorney-in-fact pursuant to a previously filed limited power of attorney.
Dan D. Stilwell, Attorney-in-Fact 10/20/2016
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.