SEC Form 4 · accession 0001209191-15-042575
Heritage Insurance Holdings, Inc. · HRTG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph R Peiso
Officer — Vice President of Compliance
Period of report
Mar 18, 2015
Accepted (ET)
May 13, 2015 · 9:36 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 StockF1,F2 | Mar 18, 2015 | S | 7,859 | $21.5243 | D | 5,000 | D | |
| Common StockF1,F3,F4 | Mar 18, 2015 | S | 5,163 | $21.5176 | D | 0 | I | See Footnote |
| Common StockF5 | May 11, 2015 | S | 5,000 | $21.0168 | D | 0 | D | |
| Common Stock | May 12, 2015 | M | 10,000 | $14.02 | D | 10,000 | D | |
| Common StockF6 | May 12, 2015 | S | 10,000 | $20.7699 | D | 0 | D | |
| Common Stock | May 13, 2015 | M | 12,500 | $16.89 | D | 12,500 | D | |
| Common StockF7 | May 13, 2015 | S | 12,500 | $20.752 | D | 0 | 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) | $14.02 | May 12, 2015 | M | 10,000 | D | Mar 15, 2015 | Sep 24, 2017 | Common Stock | 10,000 | 0 | D |
| Stock Option (Right to Buy)F8 | $16.89 | May 13, 2015 | M | 12,500 | D | — | Dec 2, 2017 | Common Stock | 12,500 | 0 | D |
Explanation of responses
- F1This filing is late due to an inadvertent administrative error.
- 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 $21.50 and $21.61 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.
- F3The 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 $21.50 and $21.63 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.
- 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 $20.86 and $21.12 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.
- F5The 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 $20.52 and $20.85 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.
- F6The 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 $20.75 and $20.78 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.
- F7Shares of common stock reported on this line are held by Mr. Peiso's wife.
- F8Fifty percent (50%) of the stock options reported on this line were immediately vested on the grant date, and the remaining fifty percent (50%) vest 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 10,000 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.