0001672048-24-000001.txt : 20240221
0001672048-24-000001.hdr.sgml : 20240221
20240221160946
ACCESSION NUMBER: 0001672048-24-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231219
FILED AS OF DATE: 20240221
DATE AS OF CHANGE: 20240221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HYER FAMILY PARTNERSHIP, LLC
CENTRAL INDEX KEY: 0001930029
ORGANIZATION NAME:
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 24659501
BUSINESS ADDRESS:
STREET 1: 3919 E 7TH AVE
CITY: TAMPA
STATE: FL
ZIP: 33605
BUSINESS PHONE: 813 503 8483
MAIL ADDRESS:
STREET 1: 3919 E 7TH AVE
CITY: TAMPA
STATE: FL
ZIP: 33605
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hyer Raymond T
CENTRAL INDEX KEY: 0001672048
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 24659506
MAIL ADDRESS:
STREET 1: 3919 E 7TH AVENUE
CITY: TAMPA
STATE: FL
ZIP: 33605
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FUTURA CIRCUITS CORP.
CENTRAL INDEX KEY: 0001929927
ORGANIZATION NAME:
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 24659502
BUSINESS ADDRESS:
STREET 1: 3919 E 7TH AVE
CITY: TAMPA
STATE: FL
ZIP: 33605
BUSINESS PHONE: 630 920 8833
MAIL ADDRESS:
STREET 1: 3919 E 7TH AVE
CITY: TAMPA
STATE: FL
ZIP: 33605
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: POOLE SEAN W
CENTRAL INDEX KEY: 0001942239
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 24659503
MAIL ADDRESS:
STREET 1: 3919 E 7TH AVE
CITY: TAMPA
STATE: FL
ZIP: 33605
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HYER KATHLEEN A
CENTRAL INDEX KEY: 0001930038
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 24659505
MAIL ADDRESS:
STREET 1: 3919 E 7TH AVENUE
CITY: TAMPA
STATE: FL
ZIP: 33605
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TIRA TARA K
CENTRAL INDEX KEY: 0001930289
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 24659504
MAIL ADDRESS:
STREET 1: 3919 E 7TH AVENUE
CITY: TAMPA
STATE: FL
ZIP: 33605
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Heritage Insurance Holdings, Inc.
CENTRAL INDEX KEY: 0001598665
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
ORGANIZATION NAME: 02 Finance
IRS NUMBER: 455338504
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 1401 N WESTSHORE BLVD
CITY: TAMPA
STATE: FL
ZIP: 33607
BUSINESS PHONE: 7273627202
MAIL ADDRESS:
STREET 1: 1401 N WESTSHORE BLVD
CITY: TAMPA
STATE: FL
ZIP: 33607
FORMER COMPANY:
FORMER CONFORMED NAME: Heritage Insurance Holdings, LLC
DATE OF NAME CHANGE: 20140130
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0508
4
2023-12-19
0
0001598665
Heritage Insurance Holdings, Inc.
HRTG
0001672048
Hyer Raymond T
3919 E 7TH AVENUE
TAMPA
FL
33605
0
0
1
0
0001930038
HYER KATHLEEN A
3919 E 7TH AVENUE
TAMPA
FL
33605
0
0
0
1
MEMBER OF GROUP
0001930289
TIRA TARA K
3919 E 7TH AVENUE
TAMPA
FL
33605
0
0
0
1
MEMBER OF GROUP
0001942239
POOLE SEAN W
3919 E 7TH AVE
TAMPA
FL
33605
0
0
0
1
MEMBER OF GROUP
0001929927
FUTURA CIRCUITS CORP.
3919 E 7TH AVE
TAMPA
FL
33605
0
0
0
1
MEMBER OF GROUP
0001930029
HYER FAMILY PARTNERSHIP, LLC
3919 E 7TH AVE
TAMPA
FL
33605
0
0
0
1
MEMBER OF GROUP
0
COMMON STOCK
2023-12-19
4
P
0
148148
6.75
A
2959263
D
COMMON STOCK
100000
D
COMMON STOCK
50000
D
COMMON STOCK
22000
D
COMMON STOCK
460000
I
See Footnote
COMMON STOCK
120000
I
See Footnote
These securities are owned solely by Raymond T. Hyer, who is a member of a group with the other Reporting Persons for purposes of Section 13(d) of the Exchange Act.
These securities are owned solely by The Kathleen Hyer Revocable Trust.
These securities are owned solely by Tara Tira.
These securities are owned solely by Sean W. Poole.
These securities are owned solely by Futura Circuits Corp.
These securities are owned solely by Hyer Family Partnership, LLC.
/s/ Raymond T. Hyer
2024-02-20
/s/ Kathleen Hyer Revocable Trust, by Raymond T. Hyer as Co-Trustee
2024-02-20
Tara K. Tira
2024-02-20
/s/ Sean W. Poole
2024-02-20
/s/ Raymond T. Hyer (P of Futura Circuits Corp.)
2024-02-20
/s/ Sean Poole, Manager of Hyer Family Partnership, LLC
2024-02-20