Filing Details

Accession Number:
0001593968-19-000701
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-03-07 16:50:45
Reporting Period:
2019-03-05
Accepted Time:
2019-03-07 16:50:45
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1681903 Icc Holdings Inc. ICCH Fire, Marine & Casualty Insurance (6331) 813359409
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1699809 R. Michael Smith 225 20Th St
Rock Island IL 61201-8810
Chief Financial Officer No No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2019-03-05 351 $13.72 351 No 4 P Indirect 401(k)
Common Stock Acquisiton 2019-03-06 202 $13.73 202 No 4 P Indirect 401(k)
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect 401(k)
No 4 P Indirect 401(k)
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Icch Common Stock Restricted Stock Unit Acquisiton 2019-03-05 1,285 $0.00 1,285 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
1,285 No 4 A Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 10,500 Indirect 401(k)
Common Stock 8,300 Indirect IRA
Common Stock 710 Indirect By ESOP
Common Stock 1,400 Indirect 401(k)
Common Stock 795 Indirect By ESOP
Common Stock 500 Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Icc Holdings, Inc. Common Stock Restricted Stock Unit $0.00 1,000 1,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
1,000 1,000 Direct
Footnotes
  1. RSU with 3 Year Periodic vesting schedule
  2. Each restricted stock unit represents a contingent right to receive one share of ICCH common stock.
  3. No exercise price for this type of award
  4. No exercisable date for this type of award
  5. No expiration date for this type of award