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The remainder of this cover page shall be filled out of a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent
amendment containing information which would alter disclosures provided in a prior cover page.
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1
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NAME OF REPORTING PERSON
Reinvent Sponsor Z LLC
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
Cayman Islands
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH:
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5
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SOLE VOTING POWER
0
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6
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SHARED VOTING POWER
401,200 (1)
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7
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SOLE DISPOSITIVE POWER
0
|
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8
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SHARED DISPOSITIVE POWER
401,200 (1)
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
401,200 (1)
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10
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
1.7% (2)
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12
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TYPE OF REPORTING PERSON
OO
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(1)
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Reflects: (a) 225,200 shares of common stock, par value $0.0001 per share (“Common Stock”), of Hippo Holdings Inc. (the “Company”), held directly by Reinvent
Sponsor Z LLC (the “Sponsor”), and (b) 176,000 shares of Common Stock issuable upon exercise of private placement warrants of the Company (“Private Warrants”) held directly by the Sponsor. Reid Hoffman and Mark Pincus may be
deemed to beneficially own securities held by the Sponsor by virtue of their relationship with Sponsor and disclaim beneficial ownership of such shares, except to the extent of their actual pecuniary interest therein. Of the 225,000 shares of
Common Stock reported in (a) above, 168,900 are earn-out shares subject to vesting based on the Common Stock achieving certain pricing thresholds on or prior to August 2, 2031 and certain lock-up restrictions, the last of which expires by
August 2, 2023.
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(2) |
The calculation assumes that there is a total of 23,238,372 shares of Common Stock outstanding, which is the sum of (i) the 23,062,372 shares of Common Stock outstanding as of
November 1, 2022, as reported in the Company’s Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on November 10, 2022 (the “Report”), and (ii) the 176,000 shares of Common Stock issuable upon exercise of
Private Warrants held by the Sponsor, as reported herein.
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1
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NAME OF REPORTING PERSON
Reid Hoffman
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH:
|
5
|
SOLE VOTING POWER
0
|
6
|
SHARED VOTING POWER
401,200 (1)
|
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7
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SOLE DISPOSITIVE POWER
0
|
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8
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SHARED DISPOSITIVE POWER
401,200 (1)
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
401,200 (1)
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10
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
1.7% (2)
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12
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TYPE OF REPORTING PERSON
IN
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(1)
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Reflects: (a) 225,200 shares of Common Stock held directly by the Sponsor, and (b) 176,000 shares of Common Stock issuable upon exercise of Private Warrants held directly by the
Sponsor. Reid Hoffman and Mark Pincus may be deemed to beneficially own securities held by the Sponsor by virtue of their relationship with Sponsor and disclaim beneficial ownership of such shares, except to the extent of their actual pecuniary
interest therein. Of the 225,000 shares of Common Stock reported in (a) above, 168,900 are earn-out shares subject to vesting based on the Common Stock achieving certain pricing thresholds on or prior to August 2, 2031 and certain lock-up
restrictions, the last of which expires by August 2, 2023.
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(2) |
The calculation assumes that there is a total of 23,238,372 shares of Common Stock outstanding, which is the sum of (i) the 23,062,372 shares of Common Stock outstanding as of
November 1, 2022, as reported in the Report, and (ii) the 176,000 shares of Common Stock issuable upon exercise of Private Warrants held by the Sponsor, as reported herein.
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1
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NAME OF REPORTING PERSON
Mark Pincus
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH:
|
5
|
SOLE VOTING POWER
0
|
6
|
SHARED VOTING POWER
441,200 (1)
|
|
7
|
SOLE DISPOSITIVE POWER
0
|
|
8
|
SHARED DISPOSITIVE POWER
441,200 (1)
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
441,200 (1)
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10
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ☐
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
1.9% (2)
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12
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TYPE OF REPORTING PERSON
IN
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(1)
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Reflects: (a) 225,200 shares of Common Stock held directly by the Sponsor, (b) 176,000 shares of Common Stock issuable upon exercise of Private Warrants held directly by the
Sponsor, and (c) 40,000 shares of Common Stock held by Reinvent Capital Fund LP (“Reinvent Capital”). Reid Hoffman and Mark Pincus may be deemed to beneficially own securities held by the Sponsor by virtue of their relationship with
Sponsor. Mr. Pincus may be deemed to beneficially own shares held by Reinvent Capital by virtue of his relationship with such entity. Mr. Pincus disclaims beneficial ownership of the securities held by Sponsor and Reinvent Capital, except to
the extent of his actual pecuniary interest therein. Of the 225,000 shares of Common Stock reported in (a) above, 168,900 are earn-out shares subject to vesting based on the Common Stock achieving certain pricing thresholds on or prior to
August 2, 2031 and certain lock-up restrictions, the last of which expires by August 2, 2023.
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(2) |
The calculation assumes that there is a total of 23,238,372 shares of Common Stock outstanding, which is the sum of (i) the 23,062,372 shares of Common Stock outstanding as of
November 1, 2022, as reported in the Report, and (ii) the 176,000 shares of Common Stock issuable upon exercise of Private Warrants held by the Sponsor, as reported herein.
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Item 1(a). |
Name of Issuer:
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Item 1(b). |
Address of Issuer’s Principal Executive Offices:
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Item 2(a). |
Name of Person Filing:
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1. |
Reinvent Sponsor Z LLC
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2. |
Reid Hoffman
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3. |
Mark Pincus
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Item 2(b). |
Address of Principal Business Office or, if none, Residence:
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Item 2(c). |
Citizenship:
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Item 2(d). |
Titles of Classes of Securities:
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Item 2(e). |
CUSIP Number:
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Item 3. |
If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
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(a) | ☐ | Broker or dealer registered under Section 15 of the Exchange Act (15 U.S.C. 78o). |
(b) | ☐ | Bank as defined in Section 3(a)(6) of the Exchange Act (15 U.S.C. 78c). |
(c) | ☐ | Insurance company as defined in Section 3(a)(19) of the Exchange Act (15 U.S.C. 78c). |
(d) | ☐ | Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). |
(e) | ☐ | Investment adviser in accordance with §240.13d-1(b)(1)(ii)(E). |
(f) | ☐ | Employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F). |
(g) | ☐ | Parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G). |
(h) | ☐ | Savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813). |
(i) | ☐ | Church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3). |
(j) | ☐ | Non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J). |
(k) |
☐ | Group in accordance with §240.13d-1(b)(1)(ii)(K). |
Item 4. |
Ownership
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Item 5. |
Ownership of Five Percent or Less of a Class.
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Item 6. |
Ownership of More than Five Percent on Behalf of Another Person.
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Item 7. |
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company.
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Item 8. |
Identification and Classification of Members of the Group.
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Item 9. |
Notice of Dissolution of Group.
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Item 10. |
Certification.
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Reinvent Sponsor Z LLC
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By:
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/s/ Mark Pincus
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Name:
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Mark Pincus
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Title:
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Authorized Signatory
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By: | /s/ Reid Hoffman |
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Name: | Reid Hoffman |
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Title: | Authorized Signatory |
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/s/ Mark Pincus
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Mark Pincus
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/s/ Reid Hoffman
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Reid Hoffman
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