0000899243-21-036792.txt : 20210921
0000899243-21-036792.hdr.sgml : 20210921
20210921170253
ACCESSION NUMBER: 0000899243-21-036792
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210917
FILED AS OF DATE: 20210921
DATE AS OF CHANGE: 20210921
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WIDDICOMBE RICHARD A
CENTRAL INDEX KEY: 0001186207
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 211267092
MAIL ADDRESS:
STREET 1: P O BOX 407193
CITY: FORT LAUDERDALE
STATE: FL
ZIP: 33340
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
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-09-17
0
0001598665
Heritage Insurance Holdings, Inc.
HRTG
0001186207
WIDDICOMBE RICHARD A
C/O HERITAGE INSURANCE HOLDINGS, INC.
2600 MCCORMICK DRIVE SUITE 300
CLEARWATER
FL
33759
1
0
0
1
Chairman
Common Stock
2021-09-17
4
P
0
10000
5.84
A
651778
D
/s/ Richard S. Widdicombe
2021-09-21