Michael R. Smith - 01 Apr 2022 Form 4 Insider Report for ICC Holdings, Inc.

Role: Chief Financial Officer
Signature: /s/Kathleen S. Springer, Attorney in Fact
Issuer symbol: N/A
Transactions as of: 01 Apr 2022
Net transactions value: $0
Form type: 4
Filing time: 04 Apr 2022, 17:33:21 UTC
Previous filing: 08 Mar 2022
Next filing: 27 Feb 2023
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	ICCH	Common Stock	Options Exercise	$14,203	+833	+27%	$17.05	3,967	01 Apr 2022	Direct	F1
transaction	ICCH	Common Stock	Options Exercise	$12,958	+760	+19%	$17.05	4,727	01 Apr 2022	Direct	F1
holding	ICCH	Common Stock						10,500	01 Apr 2022	401(k)
holding	ICCH	Common Stock						8,300	01 Apr 2022	IRA
holding	ICCH	Common Stock						710	01 Apr 2022	By ESOP
holding	ICCH	Common Stock						1,400	01 Apr 2022	401(k)
holding	ICCH	Common Stock						795	01 Apr 2022	By ESOP
holding	ICCH	Common Stock						351	01 Apr 2022	401(k)
holding	ICCH	Common Stock						202	01 Apr 2022	401(k)
holding	ICCH	Common Stock						9,971	01 Apr 2022	IRA
holding	ICCH	Common Stock						5,000	01 Apr 2022	IRA
holding	ICCH	Common Stock						727	01 Apr 2022	By ESOP
holding	ICCH	Common Stock						9	01 Apr 2022	IRA
holding	ICCH	Common Stock						866	01 Apr 2022	By ESOP
holding	ICCH	Common Stock						1,000	01 Apr 2022	IRA
holding	ICCH	Common Stock						211	01 Apr 2022	IRA
holding	ICCH	Common Stock						2,789	01 Apr 2022	IRA
holding	ICCH	Common Stock						1,000	01 Apr 2022	401(k)
holding	ICCH	Common Stock						824	01 Apr 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
transaction	ICCH	Restricted Stock Unit	Options Exercise	$12,958	-760	-100%	$17.05	0	01 Apr 2022	ICC Holdings, Inc. Common Stock	760	$14.78	Direct	F2, F3
transaction	ICCH	Restricted Stock Unit	Options Exercise	$14,203	-833	-100%	$17.05	0	01 Apr 2022	ICC Holdings, Inc. Common Stock	833	$0.000000	Direct	F2, F4, F5
holding	ICCH	Restricted Stock Unit						1,500	01 Apr 2022	ICC Holdings, Inc. Common Stock	1,500	$0.000000	Direct	F2, 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	No exercisable date for this type of award
F3	No Expiration date for this type of award
F4	No exercise price for this type of award
F5	No expiration date for this type of award