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