0001209191-21-044405.txt : 20210701
0001209191-21-044405.hdr.sgml : 20210701
20210701162751
ACCESSION NUMBER: 0001209191-21-044405
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20210621
FILED AS OF DATE: 20210701
DATE AS OF CHANGE: 20210701
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Politis Peter
CENTRAL INDEX KEY: 0001870532
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34126
FILM NUMBER: 211066200
MAIL ADDRESS:
STREET 1: 3802 COCONUT PALM DRIVE
CITY: TAMPA
STATE: FL
ZIP: 33619
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: 3802 COCONUT PALM DRIVE
CITY: TAMPA
STATE: FL
ZIP: 33619
BUSINESS PHONE: 813 849-9500
MAIL ADDRESS:
STREET 1: 3802 COCONUT PALM DRIVE
CITY: TAMPA
STATE: FL
ZIP: 33619
FORMER COMPANY:
FORMER CONFORMED NAME: Homeowners Choice, Inc.
DATE OF NAME CHANGE: 20070524
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-06-21
0
0001400810
HCI Group, Inc.
HCI
0001870532
Politis Peter
3802 COCONUT PALM DRIVE
TAMPA
FL
33619
1
0
0
0
Common Stock
5000
D
On June 21, 2021, our board of directors appointed Peter Politis to the board of directors.
/s/ Andrew L. Graham as Attorney-in-fact for Peter Politis
2021-07-01
EX-24.3_996762
2
poa.txt
POA DOCUMENT
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
Know all by these presents, that the undersigned hereby makes, constitutes and
appoints Andrew L. Graham, Corporate Secretary, and Scott Bates, Corporate
Finance Director, of HCI Group, Inc. as the undersigned's true and lawful
attorney-in-fact, with full power and authority as hereinafter described on
behalf of and in the name, place and stead of the undersigned to:
(1) prepare, execute, acknowledge, deliver and file Forms 3, 4, and 5 (including
any amendments thereto) with respect to the securities of HCI Group, Inc., a
Florida corporation (the "Company"), with the United States Securities and
Exchange Commission, any national securities exchanges and the Company, as
considered necessary or advisable under Section 16(a) of the Securities Exchange
Act of 1934 and the rules and regulations promulgated thereunder, as amended
from time to time (the "Exchange Act");
(2) seek or obtain, as the undersigned's representative and on the undersigned's
behalf, information on transactions in the Company's securities from any third
party, including brokers, employee benefit plan administrators and trustees, and
the undersigned hereby authorizes any such person to release any such
information to the undersigned and approves and ratifies any such release of
information; and
(3) perform any and all other acts which in the discretion of such
attorney-in-fact are necessary or desirable for and on behalf of the undersigned
in connection with the foregoing.
The undersigned acknowledges that:
(1) this Power of Attorney authorizes, but does not require, such
attorney-in-fact to act in their discretion on information provided to such
attorney-in-fact without independent verification of such information;
(2) any documents prepared and/or executed by such attorney-in-fact on behalf of
the undersigned pursuant to this Power of Attorney will be in such form and will
contain such information and disclosure as such attorney-in-fact, in his or her
discretion, deems necessary or desirable;
(3) neither the Company nor such attorney-in-fact assumes (i) any liability for
the undersigned's responsibility to comply with the requirement of the Exchange
Act, (ii) any liability of the undersigned for any failure to comply with such
requirements, or (iii) any obligation or liability of the undersigned for profit
disgorgement under Section 16(b) of the Exchange Act; and
(4) this Power of Attorney does not relieve the undersigned from responsibility
for compliance with the undersigned's obligations under the Exchange Act,
including without limitation the reporting requirements under Section 16 of the
Exchange Act.
The undersigned hereby gives and grants the foregoing attorney-in-fact full
power and authority to do and perform all and every act and thing whatsoever
requisite, necessary or appropriate to be done in and about the foregoing
matters as fully to all intents and purposes as the undersigned might or could
do if present, hereby ratifying all that such attorney-in-fact of, for and on
behalf of the undersigned, shall lawfully do or cause to be done by virtue of
this Limited Power of Attorney.
This Power of Attorney shall remain in full force and effect until revoked by
the undersigned in a signed writing delivered to such attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 22nd day of June, 2021.
/s/ Peter Politis
_________________________________
Signature
Peter Politis
STATE OF FLORIDA
COUNTY OF PINELLAS
On this 22nd day of June 2021, Peter Politis, who is personally known to me,
personally appeared before me, and acknowledged that he executed the foregoing
instrument for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
/s/ Chrysanthi Ioanna Magnisali Gizas
_________________________________
Notary Public
11/04/2024
_________________________________
My Commission Expires:
(seal)