William Ingram - Jul 30, 2021 Form 3 Insider Report for CCC Intelligent Solutions Holdings Inc. (CCCS)

Role
Director
Signature
/s/ Kevin Kane as Attorney-in-Fact for William Ingram
Stock symbol
CCCS
Transactions as of
Jul 30, 2021
Transactions value $
$0
Form type
3
Date filed
8/9/2021, 08:19 PM
Previous filing
Jun 7, 2021
Next filing
Oct 25, 2021

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
holding CCCS Stock Option (right to buy) Jul 30, 2021 Common Stock 170K $8.58 Direct F1, F2
holding CCCS Earn-out Shares Jul 30, 2021 Common Stock $0.00 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The Reporting Person acquired the reported securities on July 30, 2021, in respect of common stock of Cypress Holdings, Inc., which CCC Intelligent Solutions Holdings Inc. (the "Issuer") acquired by merger on July 30, 2021 (the "Merger"). In connection with the Merger and pursuant to the business combination agreement, the reporting person received stock options of the Issuer ("Options") on July 30, 2021 in respect of stock options of Cypress Holdings, Inc. ("Cypress Options").
F2 The Options will vest 20% annually on the each of the first through the fifth anniversaries of the January 13, 2021 vesting commencement date that applied with respect to the Cypress Options.
F3 Pursuant to the business combination agreement, the Reporting Person will receive, subject to satisfaction of specified service vesting requirements, shares of Common Stock of the Issuer at the earlier to occur of (a) the first date on which the last reported closing price of the Issuer's shares has been greater than or equal to $15.00 per share (as adjusted for share subdivisions, share capitalizations, reorganizations, recapitalizations and the like) for any twenty (20) day trading days within any thirty (30) consecutive trading day period commencing after July 30, 2021 or (b) a change of control of the Issuer, in each case if such event occurs within ten (10) years after July 30, 2021.

Remarks:

Exhibit 24 - Power of Attorney