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