0000899243-22-000481.txt : 20220104
0000899243-22-000481.hdr.sgml : 20220104
20220104160934
ACCESSION NUMBER: 0000899243-22-000481
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220101
FILED AS OF DATE: 20220104
DATE AS OF CHANGE: 20220104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Moura Timothy
CENTRAL INDEX KEY: 0001808766
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 22505880
MAIL ADDRESS:
STREET 1: C/O 2600 MCCORMICK DRIVE, SUITE 300
CITY: CLEARWATER
STATE: FL
ZIP: 33301
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
2022-01-01
0
0001598665
Heritage Insurance Holdings, Inc.
HRTG
0001808766
Moura Timothy
C/O HERITAGE INSURANCE HOLDINGS, INC.
2600 MCCORMICK DRIVE SUITE 300
CLEARWATER
FL
33759
0
1
0
0
See Remarks
Common Stock
2022-01-01
4
F
0
4299
5.88
D
93102
D
Represents shares withheld to satisfy tax liability on the vesting of shares of previously awarded restricted stock.
President - Narragansett Bay Insurance Company ("NBIC")
/s/ Timothy Moura
2022-01-04