SEC Form 4 · accession 0001593968-19-000686
ICC Holdings, Inc. · ICCH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Julia B. Suiter
Officer — Chief Legal Officer
Period of report
Mar 5, 2019
Accepted (ET)
Mar 6, 2019 · 12:31 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001681903
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF1,F2,F3,F4 | — | Mar 5, 2019 | A | 1,175 | A | — | — | ICCH Common Stock | 1,175 | 1,175 | D |
Explanation of responses
- F1Each restricted stock unit represents a contingent right to receive one share of ICCH common stock.
- F2No exercise price for this type of award
- F3No exercisable date for this type of award
- F4No expiration date for this type of award