0000899243-23-018036.txt : 20230811
0000899243-23-018036.hdr.sgml : 20230811
20230811150528
ACCESSION NUMBER: 0000899243-23-018036
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230619
FILED AS OF DATE: 20230811
DATE AS OF CHANGE: 20230811
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pappas Nicholas George
CENTRAL INDEX KEY: 0001607911
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 231163494
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/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0508
4/A
2023-06-19
2023-06-21
0
0001598665
Heritage Insurance Holdings, Inc.
HRTG
0001607911
Pappas Nicholas George
C/O HERITAGE INSURANCE HOLDINGS, INC.
1401 N. WESTSHORE BLVD.
TAMPA
FL
33607
1
0
0
0
0
Common Stock
2023-06-19
4
A
0
9662
0.00
A
88550
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 date of issuance and (ii) the day immediately prior to the date of the following year's annual meeting of stockholders of the Issuer.
This amendment is being filed solely to correct a typographical error in the number of shares of restricted stock awarded.
Shares of common stock reported on this line are held jointly by Mr. Pappas and his father.
/s/ Nicholas George Pappas
2023-08-11