0001567619-21-020117.txt : 20211112
0001567619-21-020117.hdr.sgml : 20211112
20211112193330
ACCESSION NUMBER: 0001567619-21-020117
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211109
FILED AS OF DATE: 20211112
DATE AS OF CHANGE: 20211112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Harpaz Ran
CENTRAL INDEX KEY: 0001875283
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39711
FILM NUMBER: 211405640
MAIL ADDRESS:
STREET 1: C/O HIPPO HOLDINGS INC.
STREET 2: 150 FOREST AVENUE
CITY: PALO ALTO
STATE: CA
ZIP: 94301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Hippo Holdings Inc.
CENTRAL INDEX KEY: 0001828105
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 981562010
STATE OF INCORPORATION: DE
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
doc1.xml
FORM 4
X0306
4
2021-11-09
0
0001828105
Hippo Holdings Inc.
HIPO
0001875283
Harpaz Ran
C/O HIPPO HOLDINGS INC.
150 FOREST AVENUE
PALO ALTO
CA
94301
0
1
0
0
Chief Technology Officer
Common Stock
2021-11-09
4
A
0
201523
0.00
A
2305648
D
Constitute restricted stock units ("RSUs") for which the Reporting Person is entitled to receive one (1) share of Common Stock for each RSU upon vesting. 25% of the RSUs shall vest as to 1/4th on each quarterly anniversary of November 15, 2021 and 75% of the remaining RSUs shall vest as to 1/4th on each quarterly anniversary thereafter, subject to the Reporting Person's continued service to the issuer.
Includes 201,523 RSUs.
/s/ Stewart Ellis, as Attorney-in-Fact for Ran Harpaz
2021-11-12