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