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