Sec Form 4 Filing - Hyer Raymond T @ Heritage Insurance Holdings, Inc. - 2023-02-13

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Hyer Raymond T
2. Issuer Name and Ticker or Trading Symbol
Heritage Insurance Holdings, Inc. [ HRTG]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
3919 E 7TH AVENUE
3. Date of Earliest Transaction (MM/DD/YY)
02/13/2023
(Street)
TAMPA, FL33605
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
COMMON STOCK 02/13/2023 P 202,460 A $ 1.96 ( 1 ) 2,811,115 ( 2 ) D
COMMON STOCK 100,000 ( 3 ) D
COMMON STOCK 50,000 ( 4 ) D
COMMON STOCK 22,000 ( 5 ) D
COMMON STOCK 460,000 ( 6 ) I see footnote
COMMON STOCK 120,000 ( 7 ) I see footnote
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Hyer Raymond T
3919 E 7TH AVENUE
TAMPA, FL33605
X
HYER KATHLEEN A
3919 E 7TH AVENUE
TAMPA, FL33605
Member of 10% owner group
TIRA TARA K
3919 E 7TH AVENUE
TAMPA, FL33605
Member of 10% owner group
POOLE SEAN W
3919 E 7TH AVE
TAMPA, FL33605
Member of 10% owner group
FUTURA CIRCUITS CORP.
3919 E 7TH AVE
TAMPA, FL33605
Member of 10% owner group
HYER FAMILY PARTNERSHIP, LLC
3919 E 7TH AVE
TAMPA, FL33605
Member of 10% owner group
Signatures
/s/ Raymond T. Hyer 02/15/2023
Signature of Reporting Person Date
/s/ Kathleen A. Hyer, by Raymond T. Hyer as attorney-in fact 02/15/2023
Signature of Reporting Person Date
/s/ Tara K. Tira, by Raymond T. Hyer as attorney-in fact 02/15/2023
Signature of Reporting Person Date
/s/ Sean W. Poole, by Raymond T. Hyer as attorney-in fact 02/15/2023
Signature of Reporting Person Date
/s/ Raymond T. Hyer (P of Futura Circuits 02/15/2023
Signature of Reporting Person Date
/s/ Sean Poole, (Mgr of HFP), by Raymond T. Hyer as attorney-in fact 02/15/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The price reported in column 4 is a weighted average price. The shares were purchased in multiple transactions at prices ranging from $1.93 to $2.00, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote.
( 2 )These securities are owned solely by Raymond T. Hyer, who is a member of a group with the other Reporting Persons for purposes of Section 13(d) of the Exchange Act.
( 3 )These securities are owned solely by Kathleen Hyer. Raymond T. Hyer may be deemed to have a pecuniary interest in these securities.
( 4 )These securities are owned solely by Tara Tira.
( 5 )These securities are owned solely by Sean W. Poole.
( 6 )These securities are held of record by Futura Circuits Corp., which is 100% owned by Raymond T. Hyer.
( 7 )These securities are held of record by Hyer Family Partnership, LLC, which is approx. 29% owned by Raymond T. Hyer, with the remainder owned by other individuals, including Tara Tira and Sean W. Poole. Each disclaims beneficial ownership except to the extent of their pecuniary interest in these securities.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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