0001628280-24-027262.txt : 20240607 0001628280-24-027262.hdr.sgml : 20240607 20240607161439 ACCESSION NUMBER: 0001628280-24-027262 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: Barlas Irini CENTRAL INDEX KEY: 0001616723 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36462 FILM NUMBER: 241029565 MAIL ADDRESS: STREET 1: C/O HERITAGE INSURANCE HOLDINGS, INC. STREET 2: 2600 MCCORMICK DRIVE, 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 wk-form4_1717791269.xml FORM 4 X0508 4 2024-06-05 0 0001598665 Heritage Insurance Holdings, Inc. HRTG 0001616723 Barlas Irini 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 65769 I See Footnote Common Stock 12746 D Common Stock 6852 I See Footnote 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 by the Lee M. Barlas and Irini Barlas Living Trust. Shares of common stock reported on this line are held by Ms. Barlas' spouse. /s/ Irini Barlas 2024-06-07