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