0000899243-21-031052.txt : 20210802
0000899243-21-031052.hdr.sgml : 20210802
20210802180921
ACCESSION NUMBER: 0000899243-21-031052
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210730
FILED AS OF DATE: 20210802
DATE AS OF CHANGE: 20210802
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Simons Jay
CENTRAL INDEX KEY: 0001695216
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39447
FILM NUMBER: 211137218
MAIL ADDRESS:
STREET 1: 25 FIRST STREET
STREET 2: 2ND FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02141
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CCC Intelligent Solutions Holdings Inc.
CENTRAL INDEX KEY: 0001818201
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 000000000
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 222 MERCHANDISE MART PLAZA
STREET 2: SUITE 900
CITY: CHICAGO
STATE: IL
ZIP: 60654
BUSINESS PHONE: (800) 621-8070
MAIL ADDRESS:
STREET 1: 222 MERCHANDISE MART PLAZA
STREET 2: SUITE 900
CITY: CHICAGO
STATE: IL
ZIP: 60654
FORMER COMPANY:
FORMER CONFORMED NAME: Dragoneer Growth Opportunities Corp.
DATE OF NAME CHANGE: 20200714
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-07-30
1
0001818201
CCC Intelligent Solutions Holdings Inc.
CCCS
0001695216
Simons Jay
ONE LETTERMAN DRIVE, BUILDING D
SUITE M500
SAN FRANCISCO
CA
94129
0
0
0
1
Former Director
Common Stock
2021-07-30
2021-07-30
4
C
0
75000
A
75000
D
Class B Ordinary Shares
2021-07-30
4
C
0
75000
D
Common Stock
75000
0
D
In connection with the completion of the Issuer's initial business combination (the "Business Combination") pursuant to the Business Combination Agreement, as amended, dated February 2, 2021, by and among Dragoneer Growth Opportunities Corp. ("Dragoneer"), Chariot Opportunity Merger Sub, Inc., a wholly owned subsidiary of Dragoneer ("Merger Sub"), and Cypress Holdings, Inc. ("CCC"), the shares of Class B Ordinary Shares automatically converted into shares of Common Stock on a one-for-one basis for no additional consideration. As part of the Business Combination, Dragoneer changed its name to CCC Intelligent Solutions Holdings Inc. (the "Issuer") on July 30, 2021.
This "Exit" Form 4 is voluntarily filed to report that the Reporting Person is no longer serving in the role as the Company's director, effective as of July 30, 2021, and therefore is no longer subject to Section 16 reporting. The Reporting Person did not have any transactions in the Issuer's securities during the time that he was a Section 16 reporting person other than those previously disclosed in Initial Statement of Beneficial Ownership of Securities on Form 3, filed on August 13, 2020.
/s/ Pat Robertson, Attorney-in-Fact Jay Simons
2021-08-02