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