0000950170-23-032906.txt : 20230713 0000950170-23-032906.hdr.sgml : 20230713 20230713210101 ACCESSION NUMBER: 0000950170-23-032906 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230711 FILED AS OF DATE: 20230713 DATE AS OF CHANGE: 20230713 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: 231087836 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 ownership.xml 4 X0407 4 2023-07-11 0001598665 Heritage Insurance Holdings, Inc. HRTG 0001808766 Moura Timothy C/O HERITAGE INSURANCE HOLDINGS, INC. 1401 N WESTSHORE BLVD TAMPA FL 33607 false true false false See Remarks false Common Stock 2023-07-11 4 A false 36765 0.00 A 188503 D Common Stock 2023-07-11 4 A false 98039 0.00 A 286542 D Represents an award of restricted stock granted to the Reporting Person. The restricted stock vests in three installments equal to 12,255 shares on December 15, 2023, 12,255 shares on December 15, 2024 and 12,255 shares on December 15, 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, 2023 and ending on December 31, 2025 and will vest following the end of the performance period but no later than March 30, 2026. 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 2023-07-13