SEC Form 4 · accession 0001593968-18-001196
ICC Holdings, Inc. · ICCH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Marilyn J. Clinton
10% Owner
Period of report
Sep 7, 2018
Accepted (ET)
Sep 11, 2018 · 4:23 pm 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 | Sep 7, 2018 | D | 18,500 | $15.25 | D | 56,500 | I | Held as Trustee for R. Kevin Clinton Irrevocable Trust for Connor Richard Clinton |
| Common Stock | Sep 7, 2018 | D | 18,500 | $15.25 | D | 56,500 | I | Held as Trustee for R. Kevin Clinton Irrevocable Trust for Ryan Kevin Clinton |
| Common Stock | Sep 7, 2018 | D | 73,541 | $15.25 | D | 76,459 | I | Held by Spouse |
| Common Stock | Sep 7, 2018 | D | 18,500 | $15.25 | D | 56,500 | I | Held as Trustee for R. Kevin Clinton Irrevocable Trust for Avery Anne Clinton |
| Common Stock | Sep 7, 2018 | D | 18,500 | $15.25 | D | 56,500 | I | Held as Trustee for R. Kevin Clinton Irrevocable Trust for Colleen Casey Clinton |
Table II — derivative securities
No Table II lines on this filing.