0000899243-19-000324.txt : 20190103 0000899243-19-000324.hdr.sgml : 20190103 20190103182536 ACCESSION NUMBER: 0000899243-19-000324 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180810 FILED AS OF DATE: 20190103 DATE AS OF CHANGE: 20190103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lusk Kirk CENTRAL INDEX KEY: 0001730226 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36462 FILM NUMBER: 19507571 MAIL ADDRESS: STREET 1: 2600 MCCORMICK DRIVE STREET 2: SUITE 300 CITY: CLEARWATER STATE: FL ZIP: 33759 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 STATE OF INCORPORATION: DE 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 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2018-08-10 2018-08-13 0 0001598665 Heritage Insurance Holdings, Inc. HRTG 0001730226 Lusk Kirk C/O HERITAGE INSURANCE HOLDINGS, INC. 2600 MCCORMICK DRIVE SUITE 300 CLEARWATER FL 33759 0 1 0 0 Chief Financial Officer Common Stock 2018-08-10 4 P 0 3500 14.3148 A 126331 D This Form 4/A is being filed to correct the amount of securities beneficially owned following the reported transaction to include the grant of restricted stock previously reported on the Reporting Person's Form 4/A filed on February 5, 2018. Of this amount, 75,000 represents shares of restricted stock that vest in five equal installments on each of January 1, 2019, 2020, 2021, 2022 and 2023. /s/ Bruce Lucas, by Power of Attorney 2019-01-03