0000899243-21-031298.txt : 20210803 0000899243-21-031298.hdr.sgml : 20210803 20210803165953 ACCESSION NUMBER: 0000899243-21-031298 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210802 FILED AS OF DATE: 20210803 DATE AS OF CHANGE: 20210803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Thompson Michael N. Jr. CENTRAL INDEX KEY: 0001824755 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39711 FILM NUMBER: 211140742 MAIL ADDRESS: STREET 1: 215 PARK AVNUE, FLOOR 11 CITY: NEW YORK STATE: NY ZIP: 10003 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Hippo Holdings Inc. CENTRAL INDEX KEY: 0001828105 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 981562010 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 150 FOREST AVENUE CITY: PALO ALTO STATE: CA ZIP: 94301 BUSINESS PHONE: (650) 294-8463 MAIL ADDRESS: STREET 1: 150 FOREST AVENUE CITY: PALO ALTO STATE: CA ZIP: 94301 FORMER COMPANY: FORMER CONFORMED NAME: Reinvent Technology Partners Z DATE OF NAME CHANGE: 20201029 FORMER COMPANY: FORMER CONFORMED NAME: Reinvent Technology Partners B DATE OF NAME CHANGE: 20201013 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-08-02 1 0001828105 Hippo Holdings Inc. HIPO 0001824755 Thompson Michael N. Jr. C/O REINVENT CAPITAL LLC 215 PARK AVENUE, FLOOR 11 NEW YORK NY 10003 0 0 0 1 Former Director and Officer Common Stock 2021-08-02 4 M 0 1000000 A 1000000 I See Footnote The securities reported herein were issued to Reinvent Capital Fund LP pursuant to a Subscription Agreement in connection with the business combination of Reinvent Technology Partners Z and Hippo Enterprises Inc. The reporting person may be a beneficial owner of securities held by Reinvent Capital Fund LP by virtue of his shared control over and indirect pecuniary interest in Reinvent Capital Fund LP. The reporting person disclaims beneficial ownership of the securities held by Reinvent Capital Fund LP, except to the extent of his pecuniary interest therein. /s/ David Cohen as attorney-in-fact for Michael Cohen 2021-08-03