0001828105-23-000059.txt : 20230609
0001828105-23-000059.hdr.sgml : 20230609
20230609182908
ACCESSION NUMBER: 0001828105-23-000059
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230607
FILED AS OF DATE: 20230609
DATE AS OF CHANGE: 20230609
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: 231006690
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
wk-form4_1686349739.xml
FORM 4
X0407
4
2023-06-07
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
0
Common Stock
2023-06-07
4
A
0
3906
17
A
5106
D
Common Stock
2023-06-07
4
A
0
6170
0
A
11276
D
Vesting/settlement of 3,906 RSUs originally granted on June 8, 2022 into Common Stock
Reflects a 1-for-25 reverse stock split effected by the Issuer on September 29, 2022.
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 Reporting Person continuing in service to the Issuer and its subsidiaries through such vesting date.
Includes 6,970 RSUs.
/s/ Stewart Ellis, as Attorney-in-Fact for Lori Dickerson Fouche
2023-06-09