0001628280-24-027266.txt : 20240607
0001628280-24-027266.hdr.sgml : 20240607
20240607161533
ACCESSION NUMBER: 0001628280-24-027266
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: Walvekar Vijay
CENTRAL INDEX KEY: 0001607782
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 241029624
MAIL ADDRESS:
STREET 1: 2600 MCCORMICK DRIVE
STREET 2: SUITE 300
CITY: CLEARWATER
STATE: IL
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_1717791323.xml
FORM 4
X0508
4
2024-06-05
0
0001598665
Heritage Insurance Holdings, Inc.
HRTG
0001607782
Walvekar Vijay
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
77901
D
Common Stock
237782
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 Mr. Walvekar's wife.
/s/ Vijay Walvekar
2024-06-07