0000899243-16-023289.txt : 20160620 0000899243-16-023289.hdr.sgml : 20160620 20160620170821 ACCESSION NUMBER: 0000899243-16-023289 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160615 FILED AS OF DATE: 20160620 DATE AS OF CHANGE: 20160620 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Heritage Insurance Holdings, Inc. CENTRAL INDEX KEY: 0001598665 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 455338504 BUSINESS ADDRESS: STREET 1: 2600 MCCORMICK DRIVE STREET 2: SUITE 300 CITY: CLEARWATER STATE: FL ZIP: 33759 BUSINESS PHONE: 7273627202 MAIL ADDRESS: STREET 1: 2600 MCCORMICK DRIVE STREET 2: SUITE 300 CITY: CLEARWATER STATE: FL ZIP: 33759 FORMER COMPANY: FORMER CONFORMED NAME: Heritage Insurance Holdings, LLC DATE OF NAME CHANGE: 20140130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Houvardas Trifon CENTRAL INDEX KEY: 0001607793 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36462 FILM NUMBER: 161722751 MAIL ADDRESS: STREET 1: 2600 MCCORMICK DRIVE STREET 2: SUITE 300 CITY: CLEARWATER STATE: IL ZIP: 33759 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-06-15 0 0001598665 Heritage Insurance Holdings, Inc. HRTG 0001607793 Houvardas Trifon C/O HERITAGE INSURANCE HOLDINGS, INC. 2600 MCCORMICK DRIVE SUITE 300 CLEARWATER FL 33759 1 0 0 0 Common Stock 2016-06-15 4 P 0 2000 12.38 A 40250 D Common Stock 308605 I See Footnote Shares of common stock reported on this line are held by K&M Insurance Investors, LLC, an entity controlled by Mr. Houvardas. /s/ Bruce Lucas, by Power of Attorney 2016-06-20