0001593968-20-000664.txt : 20200305 0001593968-20-000664.hdr.sgml : 20200305 20200305190855 ACCESSION NUMBER: 0001593968-20-000664 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200305 FILED AS OF DATE: 20200305 DATE AS OF CHANGE: 20200305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Beck Howard J. CENTRAL INDEX KEY: 0001699897 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38046 FILM NUMBER: 20692173 MAIL ADDRESS: STREET 1: 225 20TH STREET CITY: ROCK ISLAND STATE: IL ZIP: 61201 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ICC Holdings, Inc. CENTRAL INDEX KEY: 0001681903 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 813359409 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 225 20TH STREET CITY: ROCK ISLAND STATE: IL ZIP: 61201 BUSINESS PHONE: 309-793-1700 MAIL ADDRESS: STREET 1: 225 20TH STREET CITY: ROCK ISLAND STATE: IL ZIP: 61201 4 1 primary_01.xml PRIMARY DOCUMENT X0306 4 2020-03-05 0001681903 ICC Holdings, Inc. ICCH 0001699897 Beck Howard J. 225 20TH ST ROCK ISLAND IL 61201-8810 false true false false Chief Underwriting Officer Common Stock 2020-03-05 4 M false 391 13.4 A 1391 D Common Stock 16000 I 401(k) Common Stock 9900 I IRA Common Stock 611.1215 I By ESOP Common Stock 667.9980 I By ESOP Common Stock 680.0839 I By ESOP Restricted Stock Unit 0 2020-03-05 4 M false 391 13.4 A ICC Holdings, Inc. Common Stock 391 391 D RSU with 3 Year Periodic vesting schedule No exercise price for this type of award No exercisable date for this type of award No expiration date for this type of award /s/Kathleen S. Springer, Attorney in Fact 2020-03-05