0000899243-22-024175.txt : 20220627 0000899243-22-024175.hdr.sgml : 20220627 20220627132602 ACCESSION NUMBER: 0000899243-22-024175 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: Pappas Nicholas George CENTRAL INDEX KEY: 0001607911 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36462 FILM NUMBER: 221043401 MAIL ADDRESS: STREET 1: 2600 MCCORMICK DRIVE STREET 2: SUITE 300 CITY: CLEARWATER STATE: IL ZIP: 33759 FORMER NAME: FORMER CONFORMED NAME: Pappas Nick DATE OF NAME CHANGE: 20140513 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 0001607911 Pappas Nicholas George 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 78888 D 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 jointly by Mr. Pappas and his father. /s/ Nicholas George Pappas 2022-06-27