Jay Simons - Jul 30, 2021 Form 4 Insider Report for CCC Intelligent Solutions Holdings Inc. (CCCS)

Role
Former Director
Signature
/s/ Pat Robertson, Attorney-in-Fact Jay Simons
Stock symbol
CCCS
Transactions as of
Jul 30, 2021
Transactions value $
$0
Form type
4
Date filed
8/2/2021, 06:09 PM
Previous filing
Jun 7, 2021
Next filing
Dec 10, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction CCCS Common Stock Conversion of derivative security +75K 75K Jul 30, 2021 Direct F1

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
transaction CCCS Class B Ordinary Shares Conversion of derivative security -75K -100% 0 Jul 30, 2021 Common Stock 75K Direct F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Jay Simons is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may continue.

Explanation of Responses:

Id Content
F1 In connection with the completion of the Issuer's initial business combination (the "Business Combination") pursuant to the Business Combination Agreement, as amended, dated February 2, 2021, by and among Dragoneer Growth Opportunities Corp. ("Dragoneer"), Chariot Opportunity Merger Sub, Inc., a wholly owned subsidiary of Dragoneer ("Merger Sub"), and Cypress Holdings, Inc. ("CCC"), the shares of Class B Ordinary Shares automatically converted into shares of Common Stock on a one-for-one basis for no additional consideration. As part of the Business Combination, Dragoneer changed its name to CCC Intelligent Solutions Holdings Inc. (the "Issuer") on July 30, 2021.

Remarks:

This "Exit" Form 4 is voluntarily filed to report that the Reporting Person is no longer serving in the role as the Company's director, effective as of July 30, 2021, and therefore is no longer subject to Section 16 reporting. The Reporting Person did not have any transactions in the Issuer's securities during the time that he was a Section 16 reporting person other than those previously disclosed in Initial Statement of Beneficial Ownership of Securities on Form 3, filed on August 13, 2020.