0001567619-22-012707.txt : 20220610 0001567619-22-012707.hdr.sgml : 20220610 20220610184253 ACCESSION NUMBER: 0001567619-22-012707 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220608 FILED AS OF DATE: 20220610 DATE AS OF CHANGE: 20220610 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fouche Lori Dickerson CENTRAL INDEX KEY: 0001860810 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39711 FILM NUMBER: 221010280 MAIL ADDRESS: STREET 1: 200 E RANDOLPH STREET SUITE 7600 CITY: CHICAGO STATE: IL ZIP: 60616 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Hippo Holdings Inc. CENTRAL INDEX KEY: 0001828105 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 981562010 STATE OF INCORPORATION: DE 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 doc1.xml FORM 4 X0306 4 2022-06-08 0 0001828105 Hippo Holdings Inc. HIPO 0001860810 Fouche Lori Dickerson C/O HIPPO HOLDINGS INC. 150 FOREST AVENUE PALO ALTO CA 94301 1 0 0 0 Common Stock 2022-06-08 4 A 0 97656 0.00 A 127656 D Constitute restricted stock units ("RSUs") for which the Reporting Person is entitled to receive one (1) share of Common Stock for each RSU upon vesting. The RSUs will vest in full upon the earlier of (i) the first anniversary of the date of grant and (ii) immediately prior to the Annual Meeting that occurs following the date of grant, subject to the Non-Employee Director continuing in service to the Company and its subsidiaries through such vesting date. Includes 127,656 RSUs. /s/ Stewart Ellis, as Attorney-in-Fact for Lori Dickerson Fouche 2022-06-10