Form Type: 4

SEC EDGAR Link
Acccession Number:0001593968-19-001880
Date:2019-09-11
Issuer: ICC HOLDINGS, INC. (ICCH)
Original Submission Date:

Reporting Person:

SMITH MICHAEL R.
225 20TH ST
ROCK ISLAND, IL 61201-8810

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2019-09-11 P 9,971 a $14.00 9,971 indirect
COMMON STOCK 0 $0.00 10,500 indirect
COMMON STOCK 0 $0.00 8,300 indirect
COMMON STOCK 0 $0.00 710 indirect
COMMON STOCK 0 $0.00 1,400 indirect
COMMON STOCK 0 $0.00 795 indirect
COMMON STOCK 0 $0.00 500 direct
COMMON STOCK 0 $0.00 351 indirect
COMMON STOCK 0 $0.00 202 indirect
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
Footnotes
IDfootnote
f1 rsu with 3 year periodic vesting schedule

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