SEC Form 4 · accession 0001144204-17-062422
INDEPENDENCE HOLDING CO · IHC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ronald I Simon
Director
Period of report
Dec 5, 2017
Accepted (ET)
Dec 5, 2017 · 5:01 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000701869
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | Dec 5, 2017 | J | 825 | $0.00 | D | 12,125 | D | |
| Common StockF3 | Dec 5, 2017 | J | 825 | $0.00 | A | 30,825 | I | By Simon Family Trust |
| Common StockF4 | holding | — | — | — | 2,000 | I | By Wife |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents the transfer of shares from reporting person to the Simon Family Trust.
- F2Excludes 825 shares previously owned directly which were contributed to the Simon Family Trust.
- F3Includes 825 shares contributed by reporting person.
- F4The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.