SEC Form 4 · accession 0001593968-17-000542
ICC Holdings, Inc. · ICCH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard Kevin Clinton
Director · 10% Owner
Period of report
Mar 28, 2017
Accepted (ET)
Mar 30, 2017 · 9:32 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001681903
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Mar 28, 2017 | P | 150,000 | $10.00 | A | 150,000 | I | IRA |
| Common Stock | Mar 28, 2017 | P | 150,000 | $10.00 | A | 150,000 | I | Trust |
| Common Stock | Mar 28, 2017 | P | 75,000 | $10.00 | A | 75,000 | I | Trust |
| Common Stock | Mar 28, 2017 | P | 75,000 | $10.00 | A | 75,000 | I | Trust |
| Common Stock | Mar 28, 2017 | P | 75,000 | $10.00 | A | 75,000 | I | Trust |
| Common Stock | Mar 28, 2017 | P | 75,000 | $10.00 | A | 75,000 | I | Trust |
Table II — derivative securities
No Table II lines on this filing.