0000899243-21-016714.txt : 20210422
0000899243-21-016714.hdr.sgml : 20210422
20210422111907
ACCESSION NUMBER: 0000899243-21-016714
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210413
FILED AS OF DATE: 20210422
DATE AS OF CHANGE: 20210422
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lusk Kirk
CENTRAL INDEX KEY: 0001730226
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 21843799
MAIL ADDRESS:
STREET 1: 2600 MCCORMICK DRIVE
STREET 2: SUITE 300
CITY: CLEARWATER
STATE: FL
ZIP: 33759
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-04-13
0
0001598665
Heritage Insurance Holdings, Inc.
HRTG
0001730226
Lusk Kirk
C/O HERITAGE INSURANCE HOLDINGS, INC.
2600 MCCORMICK DRIVE SUITE 300
CLEARWATER
FL
33759
0
1
0
0
Chief Financial Officer
Common Stock
2021-04-13
4
A
0
14006
0.00
A
127337
D
Common Stock
2021-04-13
4
A
0
28012
0.00
A
155349
D
Represents an award of restricted stock granted to the Reporting Person. The restricted stock vests in three installments equal to 4,668 shares on December 31, 2021, 4,669 shares on December 31, 2022 and 4,669 shares on December 31, 2023.
Represents an award of performance based restricted stock granted to the Reporting Person. The restricted stock has a three-year performance period beginning on January 1, 2021 and ending on December 31, 2023 and will vest following the end of the performance period but no later than March 5, 2024. The number of shares that will be earned at the end of the performance period is subject to decrease based on the results of the performance condition.
/s/ Kirk Lusk
2021-04-22