0001567619-21-020119.txt : 20211112 0001567619-21-020119.hdr.sgml : 20211112 20211112193451 ACCESSION NUMBER: 0001567619-21-020119 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: Ellis Stewart CENTRAL INDEX KEY: 0001875258 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39711 FILM NUMBER: 211405643 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 0001875258 Ellis Stewart C/O HIPPO HOLDINGS INC. 150 FOREST AVENUE PALO ALTO CA 94301 0 1 0 0 Chief Financial Officer Common Stock 2021-11-09 4 A 0 345468 0 A 3478293 D Common Stock 258378 I See footnote 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 345,468 RSUs. Shares held by Preservation Trust Company, Inc., Trustee of the Desertfish Nevada Trust. /s/ Stewart Ellis 2021-11-12