0001127602-21-027586.txt : 20211025 0001127602-21-027586.hdr.sgml : 20211025 20211025163912 ACCESSION NUMBER: 0001127602-21-027586 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211021 FILED AS OF DATE: 20211025 DATE AS OF CHANGE: 20211025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Govil Shivani CENTRAL INDEX KEY: 0001877086 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39447 FILM NUMBER: 211344579 MAIL ADDRESS: STREET 1: 222 MERCHANDISE MART PLAZA STREET 2: SUITE 900 CITY: CHICAGO STATE: IL ZIP: 60654 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 form4.xml PRIMARY DOCUMENT X0306 4 2021-10-21 0001818201 CCC Intelligent Solutions Holdings Inc. CCCS 0001877086 Govil Shivani C/O CCC INTELLIGENT SOLUTIONS HOLDINGS 222 MERCHANDISE MART PLAZA, SUITE 900 CHICAGO IL 60654 1 See Remarks Restricted Stock Unit 0 2021-10-21 4 A 0 50000 0 A Common Stock 50000 50000 D Performance Restricted Stock Unit 0 2021-10-21 4 A 0 25000 0 A Common Stock 25000 25000 D The Reporting Person was granted Restricted Stock Units ("RSUs") which represent a contingent right to receive, at the Issuer's discretion, (i) one share of Common Stock for each RSU, (ii) an amount of cash equal to the fair market value of such share of Common Stock on the date immediately preceding the date of settlement of the RSU, or (iii) a combination thereof. Twenty-five (25%) of the RSUs vest upon each of the first four anniversaries of July 30, 2021, generally subject to the Reporting Person's continued service to the Issuer through each such vesting and settlement date. The Reporting Person was granted Performance Restricted Stock Units ("PSUs") which represent a contingent right to receive, at the Issuer's discretion, (i) a distribution of a number of shares of the Issuer's Common Stock equal to 0% to 200% (or such greater percentage as is determined by the Board of Directors of the Issuer) of the PSUs, (ii) an amount of cash equal to the fair market value of such number of shares of the Issuer's Common Stock on the date immediately preceding the date of settlement of the PSUs, or (iii) a combination thereof, in all cases based on the total shareholder return realized by the Issuer's stockholders over the period August 2, 2021 through December 31, 2023 and generally subject to the Reporting Person's continued service to the Issuer through the Issuer's certification of the performance results. Senior Vice President, Chief Product Officer /s/ Kevin Kane as Attorney-in-Fact for Shivani Govil 2021-10-25