0000899243-21-031709.txt : 20210804
0000899243-21-031709.hdr.sgml : 20210804
20210804211908
ACCESSION NUMBER: 0000899243-21-031709
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210804
FILED AS OF DATE: 20210804
DATE AS OF CHANGE: 20210804
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fleming-Wood Simon
CENTRAL INDEX KEY: 0001532594
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39711
FILM NUMBER: 211145966
MAIL ADDRESS:
STREET 1: 2101 WEBSTER STREET
STREET 2: SUITE 1650
CITY: OAKLAND
STATE: CA
ZIP: 94612
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
2021-08-04
0
0001828105
Hippo Holdings Inc.
HIPO
0001532594
Fleming-Wood Simon
C/O HIPPO HOLDINGS INC.
150 FOREST AVENUE
PALO ALTO
CA
94301
0
1
0
0
Chief Marketing Officer
Stock Option (Right to Buy)
1.06
2021-08-04
4
A
0
2086299
A
2030-12-03
Common Stock
2086299
2086299
D
25% of the shares underlying the option vest on the first anniversary measured from October 26, 2020, and 1/16th of the shares vest on each quarterly anniversary thereafter, subject to the Reporting Person continuing to provide services to the Issuer through the applicable vesting date.
Pursuant to the business combination of Hippo Holdings Inc. (the "Issuer") and Hippo Enterprises Inc. ("Old Hippo"), each outstanding Old Hippo equity award was automatically converted into a corresponding equity award of the Issuer based on a 1 to 6.95433 conversion ratio and with the same terms and vesting conditions as the Old Hippo equity award.
/s/ Stewart Ellis, as Attorney-in-Fact for Simon Fleming-Wood
2021-08-04