SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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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. Date of Event Requiring Statement (Month/Day/Year) 08/02/2022	3. Issuer Name and Ticker or Trading Symbol Heritage Insurance Holdings, Inc. [ HRTG ]
		4. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director X 10% Owner Officer (give title below) Other (specify below)	5. 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 Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
COMMON STOCK	2,090,000(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)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	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) Relationship of Reporting Person(s) to Issuer Director X 10% Owner Officer (give title below) Other (specify below)

1. Name and Address of Reporting Person* HYER KATHLEEN A (Last) (First) (Middle) 3919 E 7TH AVENUE (Street) TAMPA FL 33605 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director 10% Owner Officer (give title below) X Other (specify below) Member of 10% owner group

1. Name and Address of Reporting Person* TIRA TARA K (Last) (First) (Middle) 3919 E 7TH AVENUE (Street) TAMPA FL 33605 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director 10% Owner Officer (give title below) X Other (specify below) Member of 10% owner group

1. Name and Address of Reporting Person* POOLE SEAN W (Last) (First) (Middle) 3919 E 7TH AVE (Street) TAMPA FL 33605 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director 10% Owner Officer (give title below) X Other (specify below) Member of 10% owner group

1. Name and Address of Reporting Person* FUTURA CIRCUITS CORP. (Last) (First) (Middle) 3919 E 7TH AVE (Street) TAMPA FL 33605 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director 10% Owner Officer (give title below) X Other (specify below) Member of 10% owner group

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) Relationship of Reporting Person(s) to Issuer Director 10% Owner Officer (give title below) X Other (specify below) Member of 10% owner group

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 Kathleen Hyer. Raymond T. Hyer may be deemed to have a pecuniary interest in these securities.

3. These securities are owned solely by Tara Tira.

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

5. These securities are held of record by Futura Circuits Corp., which is 100% owned by Raymond T. Hyer.

6. 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.

	/s/ Raymond T. Hyer	08/11/2022
	/s/ Kathleen A. Hyer	08/11/2022
	/s/ Tara Tira	08/11/2022
	/s/ Sean W. Poole	08/11/2022
	/s/ Raymond T. Hyer o/b/o Futura Circuits Corp.	08/11/2022
	/s/ Sean Poole o/b/o Hyer Family Partnerhsip, LLC	08/11/2022
	** 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 5 (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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