0000899243-21-031298.txt : 20210803
0000899243-21-031298.hdr.sgml : 20210803
20210803165953
ACCESSION NUMBER: 0000899243-21-031298
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210802
FILED AS OF DATE: 20210803
DATE AS OF CHANGE: 20210803
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Thompson Michael N. Jr.
CENTRAL INDEX KEY: 0001824755
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39711
FILM NUMBER: 211140742
MAIL ADDRESS:
STREET 1: 215 PARK AVNUE, FLOOR 11
CITY: NEW YORK
STATE: NY
ZIP: 10003
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Hippo Holdings Inc.
CENTRAL INDEX KEY: 0001828105
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 981562010
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 150 FOREST AVENUE
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: (650) 294-8463
MAIL ADDRESS:
STREET 1: 150 FOREST AVENUE
CITY: PALO ALTO
STATE: CA
ZIP: 94301
FORMER COMPANY:
FORMER CONFORMED NAME: Reinvent Technology Partners Z
DATE OF NAME CHANGE: 20201029
FORMER COMPANY:
FORMER CONFORMED NAME: Reinvent Technology Partners B
DATE OF NAME CHANGE: 20201013
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-08-02
1
0001828105
Hippo Holdings Inc.
HIPO
0001824755
Thompson Michael N. Jr.
C/O REINVENT CAPITAL LLC
215 PARK AVENUE, FLOOR 11
NEW YORK
NY
10003
0
0
0
1
Former Director and Officer
Common Stock
2021-08-02
4
M
0
1000000
A
1000000
I
See Footnote
The securities reported herein were issued to Reinvent Capital Fund LP pursuant to a Subscription Agreement in connection with the business combination of Reinvent Technology Partners Z and Hippo Enterprises Inc. The reporting person may be a beneficial owner of securities held by Reinvent Capital Fund LP by virtue of his shared control over and indirect pecuniary interest in Reinvent Capital Fund LP. The reporting person disclaims beneficial ownership of the securities held by Reinvent Capital Fund LP, except to the extent of his pecuniary interest therein.
/s/ David Cohen as attorney-in-fact for Michael Cohen
2021-08-03