Arron K. Sutherland - Mar 5, 2022 Form 4 Insider Report for ICC Holdings, Inc. (ICCH)

Role
President and CEO, Director
Signature
/s/Kathleen S. Springer, Attorney in Fact
Stock symbol
ICCH
Transactions as of
Mar 5, 2022
Transactions value $
$31,988
Form type
4
Date filed
3/8/2022, 12:13 PM
Previous filing
Feb 14, 2022
Next filing
Apr 4, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction ICCH Common Stock Options Exercise $23.8K +1.43K +17.03% $16.69 9.82K Mar 5, 2022 Direct F1, F2
transaction ICCH Common Stock Options Exercise $12.8K +769 +7.83% $16.69 10.6K Mar 6, 2022 Direct F1, F2
transaction ICCH Common Stock Tax liability -$4.67K -280 -2.65% $16.69 10.3K Mar 6, 2022 Direct F1, F2
holding ICCH Common Stock 40K Mar 5, 2022 401(k)
holding ICCH Common Stock 3.4K Mar 5, 2022 IRA of Spouse
holding ICCH Common Stock 50 Mar 5, 2022 By minor child
holding ICCH Common Stock 50 Mar 5, 2022 By minor child
holding ICCH Common Stock 942 Mar 5, 2022 By ESOP
holding ICCH Common Stock 3.31K Mar 5, 2022 401(k)
holding ICCH Common Stock 1K Mar 5, 2022 401(k)
holding ICCH Common Stock 888 Mar 5, 2022 401(k)
holding ICCH Common Stock 1.06K Mar 5, 2022 By ESOP
holding ICCH Common Stock 1K Mar 5, 2022 401(k)
holding ICCH Common Stock 900 Mar 5, 2022 401(k)
holding ICCH Common Stock 1.14K Mar 5, 2022 By ESOP
holding ICCH Common Stock 920 Mar 5, 2022 By ESOP
holding ICCH Common Stock 998 Mar 5, 2022 By ESOP

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 ICCH Restricted Stock Unit 6.59K Mar 5, 2022 ICCH Common Stock 6.59K Direct F3, F4, F5, F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 RSU with vesting schedule
F2 RSU with 3 Year Periodic vesting schedule
F3 Each restricted stock unit represents a contingent right to receive one share of ICCH common stock.
F4 No exercise price for this type of award
F5 No exercisable date for this type of award
F6 No expiration date for this type of award