0000950170-23-071590.txt : 20231219 0000950170-23-071590.hdr.sgml : 20231219 20231219171426 ACCESSION NUMBER: 0000950170-23-071590 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231116 FILED AS OF DATE: 20231219 DATE AS OF CHANGE: 20231219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lusk Kirk CENTRAL INDEX KEY: 0001730226 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36462 FILM NUMBER: 231498427 MAIL ADDRESS: STREET 1: 2600 MCCORMICK DRIVE STREET 2: 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] ORGANIZATION NAME: 02 Finance 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 X0508 4 2023-11-16 0001598665 Heritage Insurance Holdings, Inc. HRTG 0001730226 Lusk Kirk C/O HERITAGE INSURANCE HOLDINGS, INC. 1401 N. WESTSHORE BLVD TAMPA FL 33607 false true false false Chief Financial Officer false Common Stock 2023-11-16 4 D false 72655 0.00 D 455688 D Common Stock 2023-12-15 4 F false 12816 6.51 D 442872 D Represents the forfeiture by the Reporting Person of shares of performance based restricted stock granted to the Reporting Person in anticipation of the applicable performance measures not being achieved. Represents the shares withheld to satisfy tax liability on the vesting of shares of previously awarded restricted stock. /s/ Kirk Lusk 2023-12-19