Statement of Changes in Beneficial Ownership (4)
05 April 2022 - 10:34PM
Edgar (US Regulatory)
FORM 4
[ ] Check this box if no longer subject to Section
16. Form 4 or Form 5 obligations may continue. See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
|
OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 0.5 |
|
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
|
|
1. Name
and Address of Reporting Person *
Matthews Barbara E |
2. Issuer Name and Ticker or Trading
Symbol Hagerty, Inc. [ HGTY ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
SVP, Gen Counsel & Corp Secr. |
(Last)
(First)
(Middle)
121 DRIVERS EDGE |
3. Date of Earliest Transaction (MM/DD/YYYY)
4/1/2022
|
(Street)
TRAVERSE CITY, MI 49684
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ 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. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. 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 |
Class A Common Stock |
4/1/2022 |
|
A |
|
13902 (1) |
A |
$0 |
13902 |
D |
|
Class A Common Stock |
4/1/2022 |
|
A |
|
4634 (2) |
A |
$0 |
18536 |
D |
|
Class A Common Stock |
4/1/2022 |
|
A |
|
12975 (3) |
A |
$0 |
31511 |
D |
|
Class A Common Stock |
4/1/2022 |
|
A |
|
185 (3) |
A |
$0 |
31696 |
D |
|
Class A Common Stock |
4/1/2022 |
|
A |
|
92678 (4) |
A |
$0 |
124374 |
D |
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. 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 |
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 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 |
Explanation of
Responses: |
(1) |
Respresents shares of Class
A Common Stock of Hagerty, Inc. ("Class A Common Stock") underlying
Restricted Stock Units ("RSUs") acquired by the Reporting Person
under the Hagerty, Inc. (the "Issuer") 2021 Equity Incentive Plan
(the "Plan"). The RSUs vest in equal amounts on each
annual-anniversary of the grant date ending on April 1, 2025,
subject to the Reporting Person's continued service with the
Issuer, with exceptions for death, disability, or
retirement. |
(2) |
Respresents shares of Class
A Common Stock underlying RSUs acquired by the Reporting Person
under the Plan. The RSUs vest on April 1, 2023, subject to the
Reporting Person's continued service with the Issuer, with
exceptions for death or disability. |
(3) |
Respresents shares of Class
A Common Stock underlying RSUs acquired by the Reporting Person
under the Plan. The RSUs vest on April 1, 2024, subject to the
Reporting Person's continued service with the Issuer, with
exceptions for death or disability. |
(4) |
Respresents shares of Class
A Common Stock underlying RSUs acquired by the Reporting Person
under the Plan. The RSUs vest 50% on April 1, 2023, and 50% on
April 1, 2024, subject to the Reporting Person's continued service
with the Issuer, with exceptions for death or
disability. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Matthews Barbara E
121 DRIVERS EDGE
TRAVERSE CITY, MI 49684 |
|
|
SVP, Gen Counsel & Corp Secr. |
|
Signatures
|
/s/ Barbara Matthews |
|
4/5/2022 |
**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 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). |
Note: |
File three copies of this Form, one of
which must be manually signed. If space is insufficient, see
Instruction 6 for procedure. |
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. |
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