0000899243-22-011565.txt : 20220318 0000899243-22-011565.hdr.sgml : 20220318 20220318134635 ACCESSION NUMBER: 0000899243-22-011565 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220316 FILED AS OF DATE: 20220318 DATE AS OF CHANGE: 20220318 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: 22751919 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: 1401 N WESTSHORE BLVD CITY: TAMPA STATE: FL ZIP: 33607 BUSINESS PHONE: 7273627202 MAIL ADDRESS: STREET 1: 1401 N WESTSHORE BLVD CITY: TAMPA STATE: FL ZIP: 33607 FORMER COMPANY: FORMER CONFORMED NAME: Heritage Insurance Holdings, LLC DATE OF NAME CHANGE: 20140130 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-03-16 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 2022-03-16 4 A 0 11161 0.00 A 104263 D Common Stock 2022-03-16 4 A 0 29762 0.00 A 134025 D Represents an award of restricted stock granted to the Reporting Person. The restricted stock vests in three installments equal to 3,720 shares on March 16, 2023 and March 16, 2024 and 3,721 shares on March 16, 2025. Represents an award of performance based restricted stock granted to the Reporting Person. The performance based restricted stock has a three-year performance period beginning on January 1, 2022 and ending on December 31, 2024 and will vest following the performance period but no later than March 5, 2025. 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. President - Narragansett Bay Insurance Company ("NBIC") /s/ Timothy Moura 2022-03-18