SEC FORM
4
SEC Form 4
| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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| OMB APPROVAL |
| OMB Number: |
3235-0287 |
| Estimated average burden |
| hours per response: |
0.5 |
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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). |
1. Name and Address of Reporting Person*
| C/O MGIC INVESTMENT CORPORATION |
| 250 EAST KILBOURN AVENUE |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
MGIC INVESTMENT CORP
[ MTG ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
|
10% Owner |
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Officer (give title below) |
|
Other (specify below) |
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|
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3. Date of Earliest Transaction
(Month/Day/Year)
11/23/2022
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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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 |
|---|
| 1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction 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 |
V |
Amount |
(A) or (D) |
Price |
| Common Stock |
11/23/2022 |
|
A |
|
61.2194 |
A |
|
8,295.0784 |
D |
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| Common Stock |
|
|
|
|
|
|
|
30,000 |
I |
By a Family Trust |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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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 |
| Explanation of Responses: |
|
| Remarks: |
|
|
Leslie A. Schunk, Attorney-in-Fact |
11/23/2022 |
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** 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
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). |
| 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. |
LIMITED POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that the undersigned is required, or may
be required in the future, to file reports of changes in beneficial
ownership of equity securities of MGIC Investment Corporation (the
"Company").
To facilitate the filing of these reports, the undersigned hereby
appoints each of Timothy A. Chrapko, Shelby E. Heinrich, Heidi A.
Heyrman, Paula C. Maggio, Brian M. Remington, Leslie A. Schunk, and
Martha F. Tsuchihashi as the undersigned's attorney-in-fact and agent
to: (i) apply on behalf of the undersigned for access codes (if
necessary) for the EDGAR System, and (ii) sign on behalf of the
undersigned and file any Form 3, Form 4, or Form 5 for the
undersigned with the Securities and Exchange Commission or any
securities exchange.
Each of the persons authorized to act as such attorney-in-fact and
agent above may do so separately without the concurrence of the other
persons. The authority granted hereunder is granted to the person
occupying the position specified at the time such authority is
exercised.
Dated: October 27, 2021
Signature: /s/ Daniel A. Arrigoni
Please print or type name: Daniel A. Arrigoni
ACKNOWLEDGMENT
STATE OF WISCONSIN )
COUNTY OF MILWAUKEE )
Before me, a Notary Public in and for the State of Wisconsin, on this
day personally appeared Daniel A. Arrigoni, known to me to be the
person whose name is subscribed to the foregoing Limited Power of
Attorney, and acknowledged to me that he/she executed the same for
the purposes and consideration therein expressed.
Given under my hand and official seal this 27th day of October 2021.
(SEAL)
By: /s/ Patricia A. Fitchett
Notary Public, State of Wisconsin
Print Name: Patricia A. Fitchett
My commission expires: October 3, 2025
