Initial Statement of Beneficial Ownership (3)
10 August 2021 - 8:31AM
Edgar (US Regulatory)
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
|
1. Name and Address of Reporting Person
*
Young Lauren |
2. Date of Event Requiring Statement (MM/DD/YYYY)
7/30/2021
|
3. Issuer Name and Ticker or Trading Symbol
CCC Intelligent Solutions Holdings Inc. [CCCS]
|
|
(Last)
(First)
(Middle)
PRUDENTIAL TOWER, 800 BOYLSTON STREET, SUITE 3300 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__X__ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
|
|
(Street)
BOSTON, MA 02199
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Beneficially Owned
|
1.Title of Security
(Instr. 4) | 2. Amount of Securities Beneficially Owned
(Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) | 4. Nature of Indirect Beneficial Ownership
(Instr. 5) |
| Common Stock | 273339593 (1) | I | See notes (3)(8) |
| Common Stock | 8645086 (1) | I | See notes (4)(8) |
| Common Stock | 90650165 (1) | I | See notes (5)(8) |
| Common Stock | 500000 (2) | I | See notes (6)(8) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 4) | 2. Date Exercisable and Expiration Date
(MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5) | 6. Nature of Indirect Beneficial Ownership
(Instr. 5) |
| Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Earnout Shares | (7) | (7) | Common Stock | 7275914 | (7) | I | See notes (3)(8) |
| Earnout Shares | (7) | (7) | Common Stock | 230119 | (7) | I | See notes (4)(8) |
| Earnout Shares | (7) | (7) | Common Stock | 2412979 | (7) | I | See notes (5)(8) |
| Explanation of Responses: |
| (1) | See Exhibit 99.1 for text of footnote (1). |
| (2) | See Exhibit 99.1 for text of footnote (2). |
| (3) | See Exhibit 99.1 for text of footnote (3). |
| (4) | See Exhibit 99.1 for text of footnote (4). |
| (5) | See Exhibit 99.1 for text of footnote (5). |
| (6) | See Exhibit 99.1 for text of footnote (6). |
| (7) | See Exhibit 99.1 for text of footnote (7). |
| (8) | See Exhibit 99.1 for text of footnote (8). |
Remarks:
Exhibit 99.1 (Footnotes to Form 3) is incorporated by reference. |
Reporting Owners
|
| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Young Lauren
PRUDENTIAL TOWER
800 BOYLSTON STREET, SUITE 3300
BOSTON, MA 02199 | X |
|
|
|
Signatures
|
| /s/ Lauren Young | | 8/9/2021 |
| **Signature of Reporting Person | Date |
CCC Intelligent Solutions (NYSE:CCCS)
Historical Stock Chart
From Jun 2024 to Jul 2024
CCC Intelligent Solutions (NYSE:CCCS)
Historical Stock Chart
From Jul 2023 to Jul 2024
Real-Time news about CCC Intelligent Solutions Holdings Inc (New York Stock Exchange): 0 recent articles
More Ccc Intelligent Solutions Holdings Inc. News Articles