Julia B. Suiter - Mar 5, 2022 Form 4 Insider Report for ICC Holdings, Inc. (ICCH)

Signature
/s/Kathleen S. Springer, Attorney in Fact
Stock symbol
ICCH
Transactions as of
Mar 5, 2022
Transactions value $
$4,356
Form type
4
Date filed
3/8/2022, 12:16 PM
Previous filing
Feb 14, 2022
Next filing
Apr 5, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction ICCH Common Stock Options Exercise $6.54K +392 +20.44% $16.69 2.31K Mar 5, 2022 Direct F1
transaction ICCH Common Stock Tax liability -$2.19K -131 -5.67% $16.69 2.18K Mar 5, 2022 Direct F1
holding ICCH Common Stock 2.5K Mar 5, 2022 401(k)
holding ICCH Common Stock 591 Mar 5, 2022 By ESOP
holding ICCH Common Stock 687 Mar 5, 2022 By ESOP
holding ICCH Common Stock 665 Mar 5, 2022 By ESOP
holding ICCH Common Stock 783 Mar 5, 2022 By ESOP
holding ICCH Common Stock 748 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 1.18K Mar 5, 2022 ICCH Common Stock 1.18K Direct F2, F3, F4, F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

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