0000899243-21-016447.txt : 20210420 0000899243-21-016447.hdr.sgml : 20210420 20210420181142 ACCESSION NUMBER: 0000899243-21-016447 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210420 DATE AS OF CHANGE: 20210420 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOHNS TIMOTHY E. CENTRAL INDEX KEY: 0001469998 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36462 FILM NUMBER: 21838996 MAIL ADDRESS: STREET 1: C/O HEI, P.O. BOX 730 CITY: HONOLULU STATE: HI ZIP: 96808 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2020-12-31 1 0001598665 Heritage Insurance Holdings, Inc. HRTG 0001469998 JOHNS TIMOTHY E. C/O HERITAGE INSURANCE HOLDINGS, INC., 2600 MCCORMICK DRIVE, SUITE 300 CLEARWATER FL 33759 0 1 0 0 See Remarks President, Zephyr Insurance Company See Exhibit 24.1 - Power of Attorney /s/ Timothy E. Johns 2021-04-20 EX-24.1 2 attachment1.htm EX-24.1 DOCUMENT
                               POWER OF ATTORNEY

Know all by these present, that the undersigned hereby constitutes and appoints
each of Ernie Garateix and Kirk Lusk, signing singly, the undersigned's true and
lawful attorney-in-fact to:

    1.  Execute for and on behalf of the undersigned, in the undersigned's
        capacity as an officer and/or director of Heritage Insurance Holdings,
        Inc. (the "Company"), Forms 3, 4 and 5 in accordance with Section 16(a)
        of the Securities Exchange Act of 1934 and the rules and regulations
        promulgated thereunder;

    2.  Do and perform any and all acts for and on behalf of the undersigned
        which may be necessary or desirable to complete and execute any such
        Form 3, 4 or 5, complete and execute any amendment or amendments thereto
        and timely file such form with the United States Securities and Exchange
        Commission and any national quotation system, national securities
        exchange, stock exchange or similar authority; and

    3.  Take any other action of any type whatsoever in connection with the
        foregoing which, in the opinion of such attorney-in-fact, may be of
        benefit to, in the best interest of or legally required by the
        undersigned, it being understood that the documents executed by such
        attorney-in-fact on behalf of the undersigned pursuant to this Power of
        Attorney shall be in such form and shall contain such terms and
        conditions as such attorney-in-fact may approve in such attorney-in-
        fact's discretion.

The undersigned hereby grants to such attorney-in-fact full power and authority
to do and perform any and every act and thing whatsoever requisite, necessary or
proper to be done in the exercise of any of the rights and powers herein
granted, as fully to all intents and purposes as the undersigned might or could
do if personally present, with full power of substitution or revocation, hereby
ratifying and confirming all that such attorney-in-fact, or such attorney-in-
fact's substitute or substitutes, shall lawfully do or cause to be done by
virtue of this Power of Attorney and the rights and powers herein granted. The
undersigned acknowledges that the foregoing attorneys-in-fact, in serving in
such capacity at the request of the undersigned, are not assuming, nor is the
Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934.

This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of April 20, 2021.

By: /s/ Timothy E. Johns
    --------------------
Name: Timothy E. Johns