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