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*
Karpowicz James A

(Last) (First) (Middle)
MGIC PLAZA
250 EAST KILBOURN AVENUE

(Street)
MILWAUKEE WI 53202

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/27/2005
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)
Senior VP & Treasurer
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 40,259(1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11) D
Common Stock 135.398(12) I By reporting person's spouse
Common Stock 817.61(13) I By Issuer's Profit Sharing and Savings Plan
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
Employee Stock Options (Right to Buy) (14) 01/22/2007 Common Stock 6,000 36.4375 D
Employee Stock Options (Right to Buy) (14) 05/05/2009 Common Stock 10,000 46.0625 D
Employee Stock Options (Right to Buy) (15) 01/26/2010 Common Stock 12,500 45.375 D
Employee Stock Options (Right to Buy) (16) 01/24/2011 Common Stock 6,250 57.88 D
Employee Stock Options (Right to Buy) (17) 01/23/2012 Common Stock 10,000 63.8 D
Employee Stock Options (Right to Buy) (18) 01/22/2013 Common Stock 7,000 43.7 D
Employee Stock Options (Right to Buy) (19) 01/28/2014 Common Stock 7,000 68.2 D
Explanation of Responses:
1. These shares include various shares awarded to the reporting person pursuant to the Issuer's 1991 Stock Incentive Plan which are subject to restrictions and of which: (a) 272 shares may not be sold or transferred prior to March 1, 2005; (b) 278 shares may not be sold or transferred prior to March 1, 2006; and (c) 266 shares may not be sold or transferred prior to March 1, 2007.
2. These shares also include various shares awarded to the reporting person pursuant to the Issuer's 2002 Stock Incentive Plan which are subject to restrictions and of which: (a) 231 shares may not be sold or transferred prior to March 1, 2005; (b) 258 shares may not be sold or transferred prior to February 28, 2006; (c) 151 shares may not be sold or transferred prior to March 1, 2007; (d) 232 shares may not be sold or transferred prior to March 1, 2008; (e) 259 shares may not be sold or transferred prior to February 28, 2009; and (f) 151 shares may not be sold or transferred prior to March 1, 2010.
3. These shares also include 1,977 shares which were awarded to the reporting person pursuant to the Issuer's 2002 Stock Incentive Plan, which are subject to restrictions, and which may not be sold or transferred prior to the date on which the restrictions lapse. The restrictions on such shares lapse on January 22 of each of the three years beginning in 2006 at rates based on certain performance standards.
4. These shares also include 2,800 shares which were awarded to the reporting person pursuant to the Issuer's 2002 Stock Incentive Plan, which are subject to restrictions, and which may not be sold or transferred prior to the date on which the restrictions lapse. The restrictions on such shares lapse on January 28 of each of the five years beginning in 2005 at rates based on certain performance standards.
5. These shares also include 5,300 shares which were awarded to the reporting person pursuant to the Issuer's 2002 Stock Incentive Plan, which are subject to restrictions, and which may not be sold or transferred prior to the date on which the restrictions lapse. The restrictions on such shares lapse on January 26 of each of the five years beginning in 2006 at rates based on certain performance standards.
6. These shares also include 3,975 shares which were awarded to the reporting person pursuant to the Issuer's 2002 Stock Incentive Plan, which are subject to restrictions, and which may not be sold or transferred prior to the date on which the restrictions lapse. The restrictions on such shares lapse on January 26 of each of the four years beginning in 2006.
7. These shares also include 729 shares which were awarded to the reporting person pursuant to the Issuer's 2002 Stock Incentive Plan, which are subject to restrictions, and which may not be sold or transferred prior to the date on which the restrictions lapse. The restrictions on such shares lapse on January 28, 2005.
8. These shares also include 1,105 shares which were awarded to the reporting person pursuant to the Issuer's 2002 Stock Incentive Plan, which are subject to restrictions, and which may not be sold or transferred prior to the date on which the restrictions lapse. The restrictions on such shares lapse on January 26 of 2006.
9. These shares also include 1,747 shares which were awarded to the reporting person pursuant to the Issuer's 2002 Stock Incentive Plan, which are subject to restrictions, and which may not be sold or transferred prior to the date on which the restrictions lapse. The restrictions on such shares lapse on January 22 of 2006.
10. These shares also include 1,093 shares which were awarded to the reporting person pursuant to the Issuer's 2002 Stock Incentive Plan, which are subject to restrictions, and which may not be sold or transferred prior to the date on which the restrictions lapse. The restrictions on such shares lapse on January 28 of 2007.
11. These shares also include 1,657 shares which were awarded to the reporting person pursuant to the Issuer's 2002 Stock Incentive Plan, which are subject to restrictions, and which may not be sold or transferred prior to the date on which the restrictions lapse. The restrictions on such shares lapse on January 26 of 2008.
12. The reporting person disclaims beneficial ownership of shares reported herein which are owned by his spouse.
13. Balance as of December 31, 2004.
14. All of these options are vested and exercisable in full.
15. Vesting of these options occurs on January 26 of each of the five years beginning in 2001, at a rate equal to the percent by which the Issuer's earnings per share for the prior fiscal year was of $31.21, subject to at least a 10% increase in the Issuer's earnings per share from the prior fiscal year, and with any portion of the option which has not been vested at January 26, 2005 becoming vested on January 26, 2009.
16. One-fifth of these options vest on January 24 of each of the five years beginning in 2002.
17. One-fifth of these options vest on January 23 of each of the five years beginning in 2003.
18. One-fifth of these options vest on January 22 of each of the five years beginning in 2004.
19. One-fifth of these options vest on January 28 of each of the five years beginning in 2005.
Remarks:
James A. Karpowicz 01/31/2005
** 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.