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