0001209191-17-066012.txt : 20171215 0001209191-17-066012.hdr.sgml : 20171215 20171215171439 ACCESSION NUMBER: 0001209191-17-066012 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171215 DATE AS OF CHANGE: 20171215 EFFECTIVENESS DATE: 20171215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Heritage Insurance Holdings, Inc. CENTRAL INDEX KEY: 0001598665 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 455338504 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-300946 FILM NUMBER: 171259768 BUSINESS ADDRESS: STREET 1: 2600 MCCORMICK DRIVE STREET 2: SUITE 300 CITY: CLEARWATER STATE: FL ZIP: 33759 BUSINESS PHONE: 7273627202 MAIL ADDRESS: STREET 1: 2600 MCCORMICK DRIVE STREET 2: SUITE 300 CITY: CLEARWATER STATE: FL ZIP: 33759 FORMER COMPANY: FORMER CONFORMED NAME: Heritage Insurance Holdings, LLC DATE OF NAME CHANGE: 20140130 D 1 primary_doc.xml X0708 D LIVE 0001598665 Heritage Insurance Holdings, Inc. 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 (727) 362-7202 DELAWARE None Heritage Insurance Holdings, LLC Corporation true Bruce Lucas 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Executive Officer Director None of the related persons received equity in connection with this issuance. Richard Widdicombe 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Executive Officer Director None of the related persons received equity in connection with this issuance. Steven Martindale 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Executive Officer None of the related persons received equity in connection with this issuance. Ernie Garateix 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Executive Officer None of the related persons received equity in connection with this issuance. Sharon Binnun 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Executive Officer None of the related persons received equity in connection with this issuance. Paul Neilson 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Executive Officer Director None of the related persons received equity in connection with this issuance. Joseph Peiso 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Director None of the related persons received equity in connection with this issuance. Panagiotis Apostolou 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Director None of the related persons received equity in connection with this issuance. Irini Barlas 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Director None of the related persons received equity in connection with this issuance. Trifon Houvardas 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Director None of the related persons received equity in connection with this issuance. James Masiello 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Director None of the related persons received equity in connection with this issuance. Nicholas Pappas 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Director None of the related persons received equity in connection with this issuance. Joseph Vattamattam 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Director None of the related persons received equity in connection with this issuance. Vijay Walvekar 2600 McCormick Drive Suite 300 Clearwater FL FLORIDA 33759 Director None of the related persons received equity in connection with this issuance. Insurance Over $100,000,000 06b false 2017-11-30 false true true The offering was made in connection with the Issuer's acquisition of NBIC Holdings, Inc. 0 40000000 40000000 0 The sale was completed at the closing of the acquisition of NBIC Holdings, Inc. on November 30, 2017. false 14 0 0 0 false Heritage Insurance Holdings, Inc. /s/ Steven Martindale Steven Martindale Chief Financial Officer 2017-12-15