0001567619-22-016667.txt : 20220825 0001567619-22-016667.hdr.sgml : 20220825 20220825145915 ACCESSION NUMBER: 0001567619-22-016667 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220809 FILED AS OF DATE: 20220825 DATE AS OF CHANGE: 20220825 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NICHOLS JOHN DRAKE CENTRAL INDEX KEY: 0001256130 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39711 FILM NUMBER: 221196853 MAIL ADDRESS: STREET 1: C/O HIPPO HOLDINGS INC. STREET 2: 150 FOREST AVENUE CITY: PALO ALTO STATE: CA ZIP: 94301 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Hippo Holdings Inc. CENTRAL INDEX KEY: 0001828105 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 981562010 STATE OF INCORPORATION: DE 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 1 doc1.xml FORM 4 X0306 4 2022-08-09 0 0001828105 Hippo Holdings Inc. HIPO 0001256130 NICHOLS JOHN DRAKE C/O HIPPO HOLDINGS INC. 150 FOREST AVENUE PALO ALTO CA 94301 1 0 0 0 Common Stock 2022-08-09 4 A 0 119741 0.00 A 119741 D Constitute restricted stock units ("RSUs") for which the Reporting Person is entitled to receive one (1) share of Common Stock for each RSU upon vesting. The RSUs will vest in full upon the earlier of (i) the first anniversary of the date of grant and (ii) immediately prior to the Annual Meeting that occurs following the date of grant, subject to the Reporting Person continuing in service to the Issuer and its subsidiaries through such vesting date. Includes 119,741 RSUs. /s/ Stewart Ellis, as Attorney-in-Fact for John Drake Nichols 2022-08-24