SEC Form 4 · accession 0000899243-15-008090
Heritage Insurance Holdings, Inc. · HRTG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul Neilson
Officer — Vice President of Claims
Period of report
Nov 9, 2015
Accepted (ET)
Nov 13, 2015 · 6:05 am EST
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 Stock | Nov 9, 2015 | M | 787 | $16.89 | A | 8,437 | D | |
| Common Stock | Nov 9, 2015 | S | 787 | $24.035 | D | 7,650 | D | |
| Common Stock | Nov 10, 2015 | M | 20,000 | $16.89 | A | 27,650 | D | |
| Common Stock | Nov 10, 2015 | S | 20,000 | $23.599 | D | 7,650 | D | |
| Common Stock | Nov 11, 2015 | M | 4,213 | $16.89 | A | 11,863 | D | |
| Common Stock | Nov 11, 2015 | M | 5,000 | $14.02 | A | 16,863 | D | |
| Common Stock | Nov 11, 2015 | S | 9,213 | $23.6078 | D | 7,650 | D |
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)F2 | $16.89 | Nov 9, 2015 | M | 787 | A | — | Dec 2, 2017 | Common Stock | 787 | 24,213 | D |
| Stock Option (Right to Buy)F2 | $16.89 | Nov 10, 2015 | M | 20,000 | A | — | Dec 2, 2017 | Common Stock | 20,000 | 4,213 | D |
| Stock Option (Right to Buy)F2 | $16.89 | Nov 11, 2015 | M | 4,213 | A | — | Dec 2, 2017 | Common Stock | 4,213 | 0 | D |
| Stock Option (Right to Buy) | $14.02 | Nov 11, 2015 | M | 5,000 | A | Mar 15, 2015 | Sep 24, 2017 | Common Stock | 5,000 | 0 | D |
Explanation of responses
- F1The 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 $23.55 and $23.67 per share. Complete information regarding the number of shares sold at each separate price will be provided upon request by the Commission Staff, the issuer or a security holder of the issuer.
- F2Fifty percent (50%) of the stock options reported on this line were immediately vested on the grant date, and the remaining fifty percent (50%) vested on April 30, 2015.
Remarks
The reporting person initially filed a Form 4 on August 19, 2014 (the "Initial Form 4") reporting the award of stock options to purchase 5,000 shares of common stock. However, the Company never completed the stock option award due to certain fundamental calculation errors and, accordingly, the purported stock option award is null and void. Therefore, the Initial Form 4 was filed in error, and this amended report is correcting the error by removing the null and void award.