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