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