0001209191-19-056554.txt : 20191114 0001209191-19-056554.hdr.sgml : 20191114 20191114155448 ACCESSION NUMBER: 0001209191-19-056554 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191112 FILED AS OF DATE: 20191114 DATE AS OF CHANGE: 20191114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Burks Robert Wayne CENTRAL INDEX KEY: 0001580278 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34126 FILM NUMBER: 191219737 MAIL ADDRESS: STREET 1: 1009 S STERLING AVENUE CITY: TAMPA STATE: FL ZIP: 33629 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HCI Group, Inc. CENTRAL INDEX KEY: 0001400810 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 000000000 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5300 WEST CYPRESS STREET STREET 2: SUITE 100 CITY: TAMPA STATE: FL ZIP: 33607 BUSINESS PHONE: 813 849-9500 MAIL ADDRESS: STREET 1: 5300 WEST CYPRESS STREET STREET 2: SUITE 100 CITY: TAMPA STATE: FL ZIP: 33607 FORMER COMPANY: FORMER CONFORMED NAME: Homeowners Choice, Inc. DATE OF NAME CHANGE: 20070524 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-11-12 0 0001400810 HCI Group, Inc. HCI 0001580278 Burks Robert Wayne 5300 WEST CYPRESS ST SUITE 100 TAMPA FL 33607 1 0 0 0 Common Stock 2019-11-12 4 P 0 4400 44.999 A 4400 D Common Stock 2019-11-13 4 J 0 12000 D 0 D Common Stock 100 D Common Stock 593 D The reported price in Column 4 is a weighted average price. The shares were purchased in multiple transactions at prices ranging from $44.99 to $45 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote. A restricted stock award of 24,000 shares was granted November 12, 2013 with the provision that any unvested shares would be forfeited six years and one day after the grant date. The award was divided into four tranches of 6,000 shares each for which vesting was dependent upon the Issuer's common stock meeting certain price levels. Of the 24,000 shares, 12,000 were cancelled pursuant to an agreement on March 2, 2016. The remaining 12,000 shares were forfeited on November 13, 2019. These shares had been granted pursuant to the Issuer's 2012 Omnibus Incentive Plan. Shares held jointly with spouse. Restricted stock grant of 593 shares effective 9/9/2019: The restricted shares will vest on 6/1/2020. These shares were granted by the company pursuant to the company's 2012 Omnibus Incentive Plan and under the terms and conditions of a restricted stock agreement dated 9/9/2019. /s/ Scott Bates as Attorney-in-fact for Robert Wayne Burks 2019-11-14