0000899243-22-002843.txt : 20220121
0000899243-22-002843.hdr.sgml : 20220121
20220121150455
ACCESSION NUMBER: 0000899243-22-002843
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220101
FILED AS OF DATE: 20220121
DATE AS OF CHANGE: 20220121
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WIDDICOMBE RICHARD A
CENTRAL INDEX KEY: 0001186207
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 22545710
MAIL ADDRESS:
STREET 1: P O BOX 407193
CITY: FORT LAUDERDALE
STATE: FL
ZIP: 33340
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Heritage Insurance Holdings, Inc.
CENTRAL INDEX KEY: 0001598665
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 455338504
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 2600 MCCORMICK DRIVE
STREET 2: SUITE 300
CITY: CLEARWATER
STATE: FL
ZIP: 33759
BUSINESS PHONE: 7273627202
MAIL ADDRESS:
STREET 1: 2600 MCCORMICK DRIVE
STREET 2: SUITE 300
CITY: CLEARWATER
STATE: FL
ZIP: 33759
FORMER COMPANY:
FORMER CONFORMED NAME: Heritage Insurance Holdings, LLC
DATE OF NAME CHANGE: 20140130
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-01-01
0
0001598665
Heritage Insurance Holdings, Inc.
HRTG
0001186207
WIDDICOMBE RICHARD A
C/O HERITAGE INSURANCE HOLDINGS, INC.
2600 MCCORMICK DRIVE SUITE 300
CLEARWATER
FL
33759
1
0
0
1
Chairman
Common Stock
2022-01-01
4
A
0
2721
0.00
A
654499
D
These shares were issued as a restricted stock grant to the reporting person by the issuer. The restricted stock shall vest on the date of the annual meeting of the stockholders of the issuer that next follows the grant date.
/s/ Richard A. Widdicombe
2022-01-21