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