Statement of Changes in Beneficial Ownership (4)
02 December 2021 - 8:56AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
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
*
GRABER LARRY |
2. Issuer Name and Ticker or Trading Symbol
INDEPENDENCE HOLDING CO
[
IHC
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Life Annuity Actuary SVP |
(Last)
(First)
(Middle)
96 CUMMINGS POINT ROAD |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/29/2021 |
(Street)
STAMFORD, CT 06902
(City)
(State)
(Zip)
|
4. 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 Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security (Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code (Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
Common Stock | 11/29/2021 | | M | | 10000 | A | $19.95 | 65482 | D | |
Common Stock | 11/29/2021 | | F(1) | | 6202 | D | $56.5 | 59280 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 7. Title and Amount of Securities Underlying Derivative Security (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) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Employee Stock Option (Right to Buy) | $19.95 | 11/29/2021 | | M | | | 10000 | (2) | 12/1/2021 | Common Stock | 10000 | $0 | 0 | D | |
Explanation of Responses: |
(1) | Represents a "net exercise"of stock option. The reporting person received 3,798 shares of common stock on net exercise option to purchase 10,000 shares of common stock. The Comapny withheld 6,202 shares of common stock underlying the option for payment of the exercise price and applicable taxes, based on the closing stock price on November 29, 2021 of $56.50. |
(2) | Fully vested as of the date hereof. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
GRABER LARRY 96 CUMMINGS POINT ROAD STAMFORD, CT 06902 | X |
| Chief Life Annuity Actuary SVP |
|
Signatures
|
/s/Larry R. Graber | | 12/1/2021 |
**Signature of Reporting Person | Date |
Independence (NYSE:IHC)
Historical Stock Chart
From Dec 2024 to Jan 2025
Independence (NYSE:IHC)
Historical Stock Chart
From Jan 2024 to Jan 2025
Real-Time news about Independence Holding Company (New York Stock Exchange): 0 recent articles
More Independence Holding Co News Articles