13D Filing: Farnam Street Partners and HCI Group Inc. (NYSE:HCI)

NAME OF REPORTING PERSONS

Raymond E. Cabillot

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE
INSTRUCTIONS)

(a)
¨

(b)
o

SEC USE ONLY

SOURCE OF FUNDS (SEE INSTRUCTIONS)

OO (Investment proceeds), PF

CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) or 2(e)

¨

CITIZENSHIP OR PLACE OF ORGANIZATION

United States

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

SOLE VOTING POWER

3,000

SHARED VOTING POWER

500,377

SOLE DISPOSITIVE POWER

3,000

SHARED DISPOSITIVE POWER

500,377

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

503,377

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES (SEE INSTRUCTIONS)

☐

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

4.9%

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)

IN