Hyer Raymond T Form 4 Heritage Insurance / Raymond T Hyer ownership change

SEC Form 4

FORM 4

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
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

Hyer Raymond T

(Last) (First) (Middle)

3919 E 7TH AVENUE

(Street)

TAMPA FL 33605

(City) (State) (Zip)

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)

3. Date of Earliest Transaction (Month/Day/Year)
03/21/2024

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

	Form filed by One Reporting Person
X	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	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	03/21/2024		G		500,000(7)	D	$0	2,459,263(1)	D
COMMON STOCK								100,000(2)	D
COMMON STOCK								50,000(3)	D
COMMON STOCK								22,000(4)	D
COMMON STOCK								460,000(5)	I	See Footnote
COMMON STOCK								120,000(6)	I	See Footnote
COMMON STOCK	03/21/2024		G		500,000	A	$0	500,000(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 (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	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 (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (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: 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

1. Name and Address of Reporting Person^*

Hyer Raymond T

(Last) (First) (Middle)

3919 E 7TH AVENUE

(Street)

TAMPA FL 33605

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

HYER KATHLEEN A

(Last) (First) (Middle)

3919 E 7TH AVENUE

(Street)

TAMPA FL 33605

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

TIRA TARA K

(Last) (First) (Middle)

3919 E 7TH AVENUE

(Street)

TAMPA FL 33605

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

POOLE SEAN W

(Last) (First) (Middle)

3919 E 7TH AVE

(Street)

TAMPA FL 33605

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

FUTURA CIRCUITS CORP.

(Last) (First) (Middle)

3919 E 7TH AVE

(Street)

TAMPA FL 33605

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

HYER FAMILY PARTNERSHIP, LLC

(Last) (First) (Middle)

3919 E 7TH AVE

(Street)

TAMPA FL 33605

(City) (State) (Zip)

1. Name and Address of Reporting Person^*

HYER FAMILY FOUNDATION, INC.

(Last) (First) (Middle)

3919 E 7TH AVENUE

(Street)

TAMPA FL 33615

(City) (State) (Zip)

Explanation of Responses:

1. 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.

2. These securities are owned solely by The Kathleen Hyer Revocable Trust.

3. These securities are owned solely by Tara Tira.

4. These securities are owned solely by Sean W. Poole.

5. These securities are owned solely by Futura Circuits Corp.

6. These securities are owned solely by Hyer Family Partnership, LLC.

7. Raymond T. Hyer transferred 500,000 shares of the issuer to the Hyer Family Foundation, Inc., a charitable foundation of which Mr. Hyer is President and a director. Mr. Hyer shares voting and investment power over all securities owned by the foundation.

	/s/ Raymond T. Hyer	04/10/2024
	/s/ Kathleen Hyer Revocable Trust, by Raymond T. Hyer as Co-Trustee	04/10/2024
	/s/ Tara K. Tira, by Raymond T. Hyer as attorney-in fact	04/10/2024
	/s/ Sean W. Poole, by Raymond T. Hyer as attorney-in fact	04/10/2024
	/s/ Raymond T. Hyer (P of Futura Circuits Corp.)	04/10/2024
	/s/ Sean Poole (Mgr of HFP), by Raymond T. Hyer as attorney-in fact	04/10/2024
	/s/ Raymond T. Hyer (P of Hyer Family Foundation, Inc.)	04/10/2024
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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