0000899243-21-033802.txt : 20210820 0000899243-21-033802.hdr.sgml : 20210820 20210820145254 ACCESSION NUMBER: 0000899243-21-033802 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210804 FILED AS OF DATE: 20210820 DATE AS OF CHANGE: 20210820 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FRATER HUGH R CENTRAL INDEX KEY: 0001059244 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-39711 FILM NUMBER: 211193438 MAIL ADDRESS: STREET 1: ANTHRACITE CAPITAL INC. STREET 2: 40 EAST 52ND STREET CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Hippo Holdings Inc. CENTRAL INDEX KEY: 0001828105 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 981562010 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 150 FOREST AVENUE CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: (650) 294-8463 MAIL ADDRESS: STREET 1: 150 FOREST AVENUE CITY: PALO ALTO STATE: CA ZIP: 94301 FORMER COMPANY: FORMER CONFORMED NAME: Reinvent Technology Partners Z DATE OF NAME CHANGE: 20201029 FORMER COMPANY: FORMER CONFORMED NAME: Reinvent Technology Partners B DATE OF NAME CHANGE: 20201013 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2021-08-04 2021-08-04 0 0001828105 Hippo Holdings Inc. HIPO 0001059244 FRATER HUGH R C/O HIPPO HOLDINGS INC. 150 FOREST AVENUE PALO ALTO CA 94301 1 0 0 0 Common Stock 2021-08-04 4 A 0 1076362 A 1076362 I See footnote Pursuant to the business combination of Hippo Holdings Inc. (the "Issuer") and Hippo Enterprises Inc. ("Old Hippo"), each share of Old Hippo outstanding common stock was automatically converted into the right to shares of the Issuer's Common Stock based on a 1 to 6.95433 conversion ratio. The original Form 4 filed by the Reporting Person on 8/4/2021 contained administrative errors. This Form 4/A corrects the aforementioned errors and accurately reflects the Reporting Person's ownership. Shares held by Hugh R. Frater Irrevocable Trust Dtd 12/11/2012. /s/ Stewart Ellis, as Attorney-in-Fact for Hugh R. Frater 2021-08-19