04/03/2025 | Press release | Distributed by Public on 04/03/2025 15:53
FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Restricted Stock Unit(1) | $ 0 | 04/01/2025 | A | 248,345 | (1) | (1) | Common Stock | 248,345 | $ 0 | 248,345 | D | ||||
Restricted Stock Unit(2) | $ 0 | 04/01/2025 | A | 100,000 | (2) | (2) | Common Stock | 100,000 | $ 0 | 100,000 | D | ||||
Restricted Stock Unit(2) | $ 0 | 04/02/2025 | M | 100,000 | (2) | (2) | Common Stock | 100,000 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Welsh Timothy A C/O CCC INTELLIGENT SOLUTIONS HOLDINGS 167 N. GREEN STREET, 9TH FLOOR CHICAGO, IL 60607 |
See Remarks |
/s/ Kevin J. Kane, attorney-in-fact for Mr. Welsh | 04/03/2025 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The Reporting Person was granted, on April 1, 2025, Restricted Stock Units ("2025 RSUs") which represent a contingent right to receive, at the Issuer's discretion, (i) one share of Common Stock for each 2025 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 2025 RSU, or (iii) a combination thereof. One-third (33.33%) of the 2025 RSUs vest upon each of the first three anniversaries of the Grant Date, generally subject to the Reporting Person's continued service to the Issuer through each such vesting and settlement date. |
(2) | The Reporting Person was granted, on April 1, 2025, Restricted Stock Units ("Immediate Vesting RSUs") which represent a contingent right to receive, at the Issuer's discretion, (i) one share of Common Stock for each Immediate Vesting 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 Immediate Vesting RSU, or (iii) a combination thereof. The Immediate Vesting RSUs were fully vested upon their grant, generally subject to the Reporting Person's continued service to the Issuer through their settlement date. |
Remarks: President and Executive Vice President, Customer Solutions & Operations |