0001628280-24-027260.txt : 20240607 0001628280-24-027260.hdr.sgml : 20240607 20240607161425 ACCESSION NUMBER: 0001628280-24-027260 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240605 FILED AS OF DATE: 20240607 DATE AS OF CHANGE: 20240607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pappas Nicholas George CENTRAL INDEX KEY: 0001607911 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36462 FILM NUMBER: 241029559 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 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 wk-form4_1717791258.xml FORM 4 X0508 4 2024-06-05 0 0001598665 Heritage Insurance Holdings, Inc. HRTG 0001607911 Pappas Nicholas George C/O HERITAGE INSURANCE HOLDINGS, INC. 1401 N. WESTSHORE BLVD. TAMPA FL 33607 1 0 0 0 0 Common Stock 2024-06-05 4 A 0 4914 0 A 80314 D These shares were issued as a restricted stock grant to the Reporting Person by the Issuer. The restricted stock shall vest on the earlier of (i) the one-year anniversary of the date of issuance and (ii) the day immediately prior to the date of the following year's annual meeting of the stockholders of the Issuer. Shares of common stock reported on this line are held in a joint account in the names of Mr. Pappas and his father. Mr. Pappas disclaims beneficial ownership of the shares in the joint account that are beneficially owned by his father. /s/ Nicholas George Pappas 2024-06-07