0000899243-21-031056.txt : 20210802 0000899243-21-031056.hdr.sgml : 20210802 20210802181317 ACCESSION NUMBER: 0000899243-21-031056 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: Ossip David D CENTRAL INDEX KEY: 0001733805 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39447 FILM NUMBER: 211137236 MAIL ADDRESS: STREET 1: C/O CERIDIAN HCM HOLDING INC. STREET 2: 3311 EAST OLD SHAKOPEE ROAD CITY: MINNEAPOLIS STATE: MN ZIP: 55425 FORMER NAME: FORMER CONFORMED NAME: Ossip David O DATE OF NAME CHANGE: 20180307 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 0001733805 Ossip David D 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 David D. Ossip 2021-08-02