0001209191-19-031701.txt : 20190521
0001209191-19-031701.hdr.sgml : 20190521
20190521153905
ACCESSION NUMBER: 0001209191-19-031701
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190517
FILED AS OF DATE: 20190521
DATE AS OF CHANGE: 20190521
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Madhu Sanjay
CENTRAL INDEX KEY: 0001439935
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34126
FILM NUMBER: 19842243
MAIL ADDRESS:
STREET 1: 425 EAST DAVIS BLVD.
CITY: TAMPA
STATE: FL
ZIP: 33606
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HCI Group, Inc.
CENTRAL INDEX KEY: 0001400810
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 000000000
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5300 WEST CYPRESS STREET
STREET 2: SUITE 100
CITY: TAMPA
STATE: FL
ZIP: 33607
BUSINESS PHONE: 813 849-9500
MAIL ADDRESS:
STREET 1: 5300 WEST CYPRESS STREET
STREET 2: SUITE 100
CITY: TAMPA
STATE: FL
ZIP: 33607
FORMER COMPANY:
FORMER CONFORMED NAME: Homeowners Choice, Inc.
DATE OF NAME CHANGE: 20070524
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-05-17
0
0001400810
HCI Group, Inc.
HCI
0001439935
Madhu Sanjay
5300 W. CYPRESS STREET
SUITE 100
TAMPA
FL
33607
1
0
0
0
Common Stock
2803
I
By Self's IRA
Common Stock
267
I
By Son
Common Stock
75000
I
By Universal Finance & Investments, LLC
Common Stock
8106
D
Common Stock
2019-05-17
4
J
0
12000
D
0
D
The reporting person holds voting and investment power of all shares held by Universal Finance & Investments, LLC.
A restricted stock award of 24,000 shares was granted May 16, 2013 with the provision that any unvested shares would be forfeited six years and one day after the grant date. The award was divided into four tranches of 6,000 shares each for which vesting was dependent upon the Issuer's common stock meeting certain price levels. Of the 24,000 shares, a 6,000 share tranche vested in 2013 and a 6,000 share tranche was cancelled pursuant to an agreement on February 23, 2016. The remaining 12,000 shares were forfeited on May 17, 2019. These shares had been granted pursuant to the Issuer's 2012 Omnibus Incentive Plan.
/s/ Andrew L. Graham as Attorney-in-fact for Sanjay Madhu
2019-05-21