SEC Form 4/A · accession 0000899243-15-001050
Heritage Insurance Holdings, Inc. · HRTG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Irini Barlas
Director
Period of report
Jul 6, 2015
Accepted (ET)
Jul 10, 2015 · 5:06 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001598665
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2,F3 | Jul 6, 2015 | S | 15,000 | $25.1576 | D | 30,900 | I | See Footnote |
| Common StockF3 | Jul 6, 2015 | M | 10,000 | $14.02 | D | 40,900 | I | See Footnote |
| Common StockF4,F3 | Jul 6, 2015 | S | 10,000 | $25.1555 | D | 30,900 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F3 | $14.02 | Jul 6, 2015 | A | 10,000 | A | Mar 15, 2015 | Sep 24, 2017 | Common Stock | 10,000 | 0 | I |
Explanation of responses
- F1The sales reported on this line were made pursuant to a 10b5-1 plan adopted by the Reporting Person.
- F2The price is the weighted average price for the transactions reported on this line. The range of prices for the transactions reported on this line is between $25.00 and $25.49 per share. Complete information regarding the number of shares purchased at each separate price will be provided upon request by the Commission Staff, the issuer or a security holder of the issuer.
- F3Shares of common stock reported on this line are held by the Lee M. Barlas and Irini Barlas Living Trust.
- F4The price is the weighted average price for the transactions reported on this line. The range of prices for the transactions reported on this line is between $25.00 and $25.49 per share. Complete information regarding the number of shares purchased at each separate price will be provided upon request by the Commission Staff, the issuer or a security holder of the issuer.
Remarks
The reporting person initially filed a Form 4 on July 8, 2015 (the "Initial Form 4") reporting the sale of 15,000 shares of common stock. However, due to an inadvertent administrative error, an exercise of stock options and additional sale of 10,000 shares of common stock effected on July 6, 2015 was not reported.