SECURITIES & EXCHANGE COMMISSION EDGAR FILING. HCI Group, Inc. Form: 4. Date Filed:
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1 SECURITIES & EXCHANGE COMMISSION EDGAR FILING HCI Group, Inc. Form: 4 Filed: Corporate Issuer CIK: Copyright 2018, Issuer Direct Corporation. All Right Reserved. Distribution of this document is strictly prohibited, subject to the terms of use.
2 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 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Exchange Act of 1934 or Section 30(h) of the Investment Comp Act of 1940 OMB APPROVAL OMB Number: Estimated average burden hours per response (Print or Type Responses) 1. Name and Address of Reporting Person * (Last) (First) (Middle) 5300 W. CYPRESS STREET, SUITE Title of (Street) (City) (State) (Zip) 2. Transaction 2. Issuer Name and Ticker or Trading Symbol HCI Group, Inc. [HCI] 3. of Earliest Transaction 01/15/ Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) 4. If Amendment, Original Filed 6. Individual or Joint/Group Filing(Check Applicable Line) _X_ Form filed by One Reporting Person Form filed by More than One Reporting Person 2A. Deemed Table I - Non- Acquired, Disposed of, or ly Owned V Amount 4. Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) (A) or (D) Price 5. Amount of ly Owned Following Reported Transaction(s) Common Stock 2,825 I Common Stock 01/15/2018 F 205 D $ D Common Stock 2,164 (2) D Common Stock 21,034 D Common Stock 2,329 (3) D Common Stock 2,500 (4) D 6. Form: 7. Nature By Andrew L. Graham IRA Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. SEC 1474 (9-02) 1. Title of 2. Conversion or Exercise Price of Table II - Acquired, Disposed of, or ly Owned (e.g., puts, calls, warrants, options, convertible securities) 3A. Deemed 4. Transaction 5. Number of Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) V (A) (D) 6. Exercisable and Expiration 7. Title and Amount of Underlying Expiration Amount or Title Exercisable Number of Shares 8. Price of (Instr. 5) 9. Number of ly Owned Following Reported Transaction(s) 10. Form of : 11. Nature Reporting Owners Reporting Owner Name / Address 5300 W. CYPRESS STREET SUITE 100 Signatures /s/ Andrew L. Graham 01/17/2018 ** Signature of Reporting Person Relationships Director 10% Owner Officer Other Explanation of Responses: * 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 and 15 U.S.C. 78ff(a). 205 shares were surrendered to cover the minimum federal income tax liability associated with the January 15, 2018 vesting of the last tranche of 625 restricted shares of this grant originally awarded February 28, Restricted stock grant of 2,500 shares effective 5/20/2015: Restriction period will lapse and the restricted shares will vest as follows: 625 shares on each of May 20, 2016, May 20, 2017, May 20, (2) 2018, and May 20, These shares were granted by the comp pursuant to the comp's 2012 Omnibus Incentive Plan and under the terms and conditions of a restricted stock agreement dated 5/20/2015. The number of shares reported in column 5 includes 1,250 unvested shares pursuant to this 5/20/2015 restricted stock grant. (3) Restricted stock grant of 2,500 shares effective 6/06/2016: Restriction period will lapse and the restricted shares will vest as follows: 625 shares on each of May 20, 2017, May 20, 2018, May 20, 2019, and May 20, These shares were granted by the comp pursuant to the comp's 2012 Omnibus Incentive Plan and under the terms and conditions of a restricted stock agreement dated 6/06/2016. The number of shares reported in column 5 includes 1,875 unvested shares pursuant to this 6/06/16 restricted stock grant.
3 Restricted stock grant of 2,500 shares effective 6/06/2017: Restriction period will lapse and the restricted shares will vest as follows: 625 shares on each of May 20, 2018, May 20, 2019, May 20, (4) 2020, and May 20, These shares were granted by the comp pursuant to the comp's 2012 Omnibus Incentive Plan and under the terms and conditions of a restricted stock agreement dated 6/06/2017. Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
4 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 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Exchange Act of 1934 or Section 30(h) of the Investment Comp Act of 1940 OMB APPROVAL OMB Number: Estimated average burden hours per response (Print or Type Responses) 1. Name and Address of Reporting Person * (Last) (First) (Middle) 5300 W. CYPRESS STREET, SUITE Title of (Street) (City) (State) (Zip) 2. Transaction 2. Issuer Name and Ticker or Trading Symbol HCI Group, Inc. [HCI] 3. of Earliest Transaction 01/15/ Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) 4. If Amendment, Original Filed 6. Individual or Joint/Group Filing(Check Applicable Line) _X_ Form filed by One Reporting Person Form filed by More than One Reporting Person 2A. Deemed Table I - Non- Acquired, Disposed of, or ly Owned V Amount 4. Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) (A) or (D) Price 5. Amount of ly Owned Following Reported Transaction(s) Common Stock 2,825 I Common Stock 01/15/2018 F 205 D $ D Common Stock 2,164 (2) D Common Stock 21,034 D Common Stock 2,329 (3) D Common Stock 2,500 (4) D 6. Form: 7. Nature By Andrew L. Graham IRA Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. SEC 1474 (9-02) 1. Title of 2. Conversion or Exercise Price of Table II - Acquired, Disposed of, or ly Owned (e.g., puts, calls, warrants, options, convertible securities) 3A. Deemed 4. Transaction 5. Number of Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) V (A) (D) 6. Exercisable and Expiration 7. Title and Amount of Underlying Expiration Amount or Title Exercisable Number of Shares 8. Price of (Instr. 5) 9. Number of ly Owned Following Reported Transaction(s) 10. Form of : 11. Nature Reporting Owners Reporting Owner Name / Address 5300 W. CYPRESS STREET SUITE 100 Signatures /s/ Andrew L. Graham 01/17/2018 ** Signature of Reporting Person Relationships Director 10% Owner Officer Other Explanation of Responses: * 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 and 15 U.S.C. 78ff(a). 205 shares were surrendered to cover the minimum federal income tax liability associated with the January 15, 2018 vesting of the last tranche of 625 restricted shares of this grant originally awarded February 28, Restricted stock grant of 2,500 shares effective 5/20/2015: Restriction period will lapse and the restricted shares will vest as follows: 625 shares on each of May 20, 2016, May 20, 2017, May 20, (2) 2018, and May 20, These shares were granted by the comp pursuant to the comp's 2012 Omnibus Incentive Plan and under the terms and conditions of a restricted stock agreement dated 5/20/2015. The number of shares reported in column 5 includes 1,250 unvested shares pursuant to this 5/20/2015 restricted stock grant. (3) Restricted stock grant of 2,500 shares effective 6/06/2016: Restriction period will lapse and the restricted shares will vest as follows: 625 shares on each of May 20, 2017, May 20, 2018, May 20, 2019, and May 20, These shares were granted by the comp pursuant to the comp's 2012 Omnibus Incentive Plan and under the terms and conditions of a restricted stock agreement dated 6/06/2016. The number of shares reported in column 5 includes 1,875 unvested shares pursuant to this 6/06/16 restricted stock grant.
5 Restricted stock grant of 2,500 shares effective 6/06/2017: Restriction period will lapse and the restricted shares will vest as follows: 625 shares on each of May 20, 2018, May 20, 2019, May 20, (4) 2020, and May 20, These shares were granted by the comp pursuant to the comp's 2012 Omnibus Incentive Plan and under the terms and conditions of a restricted stock agreement dated 6/06/2017. Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
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