SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Ropiecki Gary Lloyd

(Last) (First) (Middle)
1110 W. COMMERCIAL BLVD

(Street)
FORT LAUDERDALE FL 33309

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/14/2022
3. Issuer Name and Ticker or Trading Symbol
UNIVERSAL INSURANCE HOLDINGS, INC. [ UVE ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Principal Accounting Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 5,000(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) 03/14/2022 03/14/2029 Common Stock 7,500 $31.64 D
Explanation of Responses:
1. Represents 5,000 RSUs. Each RSU represents the right to receive one share of the Issuer's Common Stock, subject to vesting. These RSUs vest as follows, subject to continued employment by the reporting person through the applicable vesting date: (a) 1,667 restricted shares that vested on December 17, 2022; (b) 1,667 restricted shares that vest on December 17, 2023; and (c) 1,666 restricted shares that vest on December 17, 2024.
Remarks:
This Form 3 is late due to a misunderstanding about whether the reporting person was considered to be an "officer" for reporting purposes pursuant to Section 16(a) of the Securities Exchange Act of 1934, as amended, since the Issuer determined that the reporting person was not an "executive officer" for reporting purposes pursuant to Item 401(b) of Regulation S-K. This Form 3 reflects the reporting person's beneficial ownership as of the date he was appointed as the Issuer's principal accounting officer, which occurred on March 14, 2022, as disclosed in the Current Report on Form 8-K filed by the Issuer on March 18, 2022.
/s/ Gary Ropiecki 03/21/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.