Trevor R. Burgess - Sep 30, 2025 Form 3 Insider Report for Neptune Insurance Holdings Inc. (NP)

Role: CEO & Chairman of the Board, Director, 10%+ Owner
Signature: /s/ Trevor R. Burgess
Stock symbol: NP
Transactions as of: Sep 30, 2025
Transactions value $: $0
Form type: 3
Date filed: 9/30/2025, 09:07 PM
Next filing: Oct 3, 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Burgess Trevor R	CEO & Chairman of the Board, Director, 10%+ Owner	C/O NEPTUNE INSURANCE HOLDINGS INC., 400 6TH STREET S, SUITE 2, ST. PETERSBURG	/s/ Trevor R. Burgess	2025-09-30	0001613062

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
holding	NP	Common Stock						25M	Sep 30, 2025	Held by Burgess Family SLAT, u/a/d March 26, 2025	F1, F2
holding	NP	Common Stock						17.9M	Sep 30, 2025	Held by the Trevor R. Burgess Irrevocable Trust of 2020, u/a/d March 24, 2025	F1, F3
holding	NP	Common Stock						511K	Sep 30, 2025	Held by the Trevor R. Burgess Revocable Trust, u/a/d September 30, 2024	F1, F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
holding	NP	Stock Option (right to buy)							Sep 30, 2025	Common Stock	5.88M	$5.50	Direct	F1, F4
holding	NP	Stock Option (right to buy)							Sep 30, 2025	Common Stock	280K	$5.50	Direct	F1, F4

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Shares of Common Stock will automatically be reclassified as shares of Class A Common Stock on a one-for-one basis upon the filing of the Second Amended and Restated Certificate of Incorporation of the Issuer immediately prior to the closing of the Issuer's initial public offering ("IPO"). All such shares of Class A Common Stock beneficially held by the Reporting Person will then immediately be exchanged for an equivalent number of newly issued shares of the Issuer's Class B Common Stock.
F2	The Reporting Person is the trustee of the trust.
F3	Jonathan W. Meyer and David J. Rectenwald are Co-Trustees of the trust and may be replaced at the discretion of the Reporting Person. By virtue of his relationship with the trust, the Reporting Person is deemed to have an indirect beneficial interest in the shares held by the trust. The Reporting Person disclaims beneficial ownership of the shares held by the trust.
F4	The stock option will fully vest upon the closing of (and become exercisable in connection with) the IPO. The Reporting Person was previously granted certain additional stock options that will terminate upon the closing of (and not be exercisable in connection with) the IPO. The amount reported includes only stock options that will vest upon the closing of (and become exercisable in connection with) the IPO.