0000950170-24-022462.txt : 20240228
0000950170-24-022462.hdr.sgml : 20240228
20240228190951
ACCESSION NUMBER: 0000950170-24-022462
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240226
FILED AS OF DATE: 20240228
DATE AS OF CHANGE: 20240228
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JOHNS TIMOTHY E.
CENTRAL INDEX KEY: 0001469998
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36462
FILM NUMBER: 24697968
MAIL ADDRESS:
STREET 1: C/O HEI, P.O. BOX 730
CITY: HONOLULU
STATE: HI
ZIP: 96808
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
ownership.xml
4
X0508
4
2024-02-26
0001598665
Heritage Insurance Holdings, Inc.
HRTG
0001469998
JOHNS TIMOTHY E.
C/O HERITAGE INSURANCE HOLDINGS, INC.
1401 N WESTSHORE BLVD
TAMPA
FL
33607
false
true
false
false
See Remarks
false
Common Stock
2024-02-26
4
A
false
2137
0
A
32693
D
Common Stock
2024-02-26
4
A
false
3205
0
A
35898
D
Represents an award of restricted stock granted to the Reporting Person. The restricted stock vests in three installments equal to 712 shares on December 15, 2024,
712 shares on December 15, 2025 and 713 shares on December 15, 2026.
Represents an award of performance based restricted stock granted to the Reporting Person. The performance based restricted stock has a three-year performance
period beginning on January 1, 2024 and ending on December 31, 2026 and will vest following the end of the performance period but no later than March 30, 2027.
The number of shares that will be earned at the end of the performance period is subject to increase or decrease based on the results of the performance condition.
President, Zephyr Insurance Company
/s/ Timothy E. Johns
2024-02-28