0001209191-15-046176.txt : 20150522 0001209191-15-046176.hdr.sgml : 20150522 20150522163314 ACCESSION NUMBER: 0001209191-15-046176 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150520 FILED AS OF DATE: 20150522 DATE AS OF CHANGE: 20150522 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 BUSINESS ADDRESS: STREET 1: 2600 MCCORMICK DRIVE STREET 2: SUITE 300 CITY: CLEARWATER STATE: FL ZIP: 33759 BUSINESS PHONE: 7273627202 MAIL ADDRESS: STREET 1: 2600 MCCORMICK DRIVE STREET 2: SUITE 300 CITY: CLEARWATER STATE: FL ZIP: 33759 FORMER COMPANY: FORMER CONFORMED NAME: Heritage Insurance Holdings, LLC DATE OF NAME CHANGE: 20140130 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: 15887024 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 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2015-05-20 2014-08-19 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 2015-05-20 4 S 0 8000 20.8115 D 65595 D The price is the weighted average price for the transactions reported on this line. The range of prices for the transactions reported on this line is between $20.83 and $20.81 per share. Complete information regarding the number of shares sold at each separate price will be provided upon request by the Commission Staff, the issuer or a security holder of the issuer. Shares of common stock reported on this line are held jointly by Mr. Pappas and his father. The reporting person initially filed a Form 4 on August 19, 2014 (the "Initial Form 4") reporting the award of stock options to purchase 10,000 shares of common stock. However, the Company never completed the stock option award due to certain fundamental calculation errors and, accordingly, the purported stock option award is null and void. Therefore, the Initial Form 4 was filed in error, and this amended report is correcting the error by removing the null and void award. /s/ Bruce Lucas, by Power of Attorney 2015-05-22