0001127602-22-024204.txt : 20221020
0001127602-22-024204.hdr.sgml : 20221020
20221020184129
ACCESSION NUMBER: 0001127602-22-024204
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20221017
FILED AS OF DATE: 20221020
DATE AS OF CHANGE: 20221020
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Silva Michael John
CENTRAL INDEX KEY: 0001950974
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39447
FILM NUMBER: 221321919
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: 167 N. GREEN STREET
STREET 2: 9TH FLOOR
CITY: CHICAGO
STATE: IL
ZIP: 60607
BUSINESS PHONE: (800) 621-8070
MAIL ADDRESS:
STREET 1: 167 N. GREEN STREET
STREET 2: 9TH FLOOR
CITY: CHICAGO
STATE: IL
ZIP: 60607
FORMER COMPANY:
FORMER CONFORMED NAME: Dragoneer Growth Opportunities Corp.
DATE OF NAME CHANGE: 20200714
3
1
form3.xml
PRIMARY DOCUMENT
X0206
3
2022-10-17
1
0001818201
CCC Intelligent Solutions Holdings Inc.
CCCS
0001950974
Silva Michael John
C/O CCC INTELLIGENT SOLUTIONS HOLDINGS
167 N. GREEN STREET, 9TH FLOOR
CHICAGO
IL
60607
1
See Remarks
EVP, Chief Commercial & Customer Success Officer
/s/ Kevin Kane as Attorney-in-Fact for Michael John Silva
2022-10-20
EX-24
2
doc1.txt
POWER OF ATTORNEY (PUBLIC): SILVA POA
POWER OF ATTORNEY
FOR SECTION 16 REPORTING OBLIGATIONS
October 13, 2022
KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and
appoints each of Kevin Kane and Charles Vos, signing singly, the undersigned's
true and lawful attorney-in-fact to: (i) execute for and on behalf of the
undersigned, in the undersigned's capacity as an officer and/or director and/or
owner of greater than 10% of the outstanding shares of common stock of CCC
Intelligent Solutions Holdings Inc., a Delaware corporation (the "Company"),
Forms 3, 4 and 5 (including any amendments, supplements or exhibits thereto)
in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the
rules thereunder; (ii) do and perform any and all acts for and on behalf of the
undersigned which may be necessary or desirable to complete and execute any such
Form 3, 4 or 5 (including any amendments, supplements or exhibits thereto) and
timely file such form with the United States Securities and Exchange Commission
(the "SEC") and any stock exchange or similar authority, including the New York
Stock Exchange, and including without limitation the filing of a Form ID or any
other documents necessary or appropriate to enable the undersigned to file the
Form 3, 4 and 5 electronically with the SEC; (iii) seek or obtain, as the
undersigned's representative and on the undersigned's behalf, information on
transactions in the Company's securities from any third party, including
brokers, employee benefit plan administrators and trustees, and the undersigned
hereby authorizes any such person to release any such information to each of the
undersigned's attorneys-in-fact appointed by this Power of Attorney and ratifies
any such release of information; and (iv) take any other action of any type
whatsoever in connection with the foregoing which, in the opinion of such
attorney-in-fact, may be of benefit to, in the best interest of, or legally
required by, the undersigned, it being understood that the documents executed by
such attorney-in-fact on behalf of the undersigned pursuant to this Power of
Attorney shall be in such form and shall contain such terms and conditions as
such attorney-in-fact may approve in such attorney-in-fact's discretion. The
undersigned hereby grants to each such attorney-in-fact full power and authority
to do and perform any and every act and thing whatsoever requisite, necessary or
proper to be done in the exercise of any of the rights and powers herein
granted, as fully to all intents and purposes as the undersigned might or could
do if personally present, with full power of substitution or revocation, hereby
ratifying and confirming all that such attorney-in-fact, or such attorney-in-
fact's substitute or substitutes, shall lawfully do or cause to be done by
virtue of this power of attorney and the rights and powers herein granted. The
undersigned acknowledges that the foregoing attorneys-in-fact, in serving in
such capacity at the request of the undersigned, are not assuming, nor is the
Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934. This Power of Attorney shall
remain in full force and effect until the undersigned is no longer required to
file Forms 3, 4 and 5 with respect to the undersigned's holdings of and
transactions in securities issued by the Company, unless earlier revoked by the
undersigned in a signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of date first written above.
Signed and acknowledged:
/s/ Michael John Silva
-------------------------------------
Michael John Silva