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