0000899243-22-024161.txt : 20220627
0000899243-22-024161.hdr.sgml : 20220627
20220627131926
ACCESSION NUMBER: 0000899243-22-024161
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220623
FILED AS OF DATE: 20220627
DATE AS OF CHANGE: 20220627
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Barlas Irini
CENTRAL INDEX KEY: 0001616723
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 221043379
MAIL ADDRESS:
STREET 1: C/O HERITAGE INSURANCE HOLDINGS, INC.
STREET 2: 2600 MCCORMICK DRIVE, 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: 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
2022-06-23
0
0001598665
Heritage Insurance Holdings, Inc.
HRTG
0001616723
Barlas Irini
C/O HERITAGE INSURANCE HOLDINGS, INC.
2600 MCCORMICK DRIVE SUITE 300
CLEARWATER
FL
33759
1
0
0
0
Common Stock
2022-06-23
4
A
0
12422
0.00
A
27889
D
Common Stock
6852
I
See Footnote
Common Stock
36050
I
See Footnote
These shares were issued as a restricted stock grant to the reporting person by the issuer. The restricted stock shall vest on the earlier of (i) the one-year anniversary of the grant date and (ii) the day immediately prior to the date of the annual meeting of the stockholders of the issuer that next follows the grant date.
Shares of common stock reported on this line are held by Ms. Barlas' spouse.
Shares of common stock reported on this line are held by the Lee M. Barlas and Irini Barlas Living Trust.
/s/ Irini Barlas
2022-06-27