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