<SEC-DOCUMENT>9999999997-17-005113-index.html : 20170327 <SEC-HEADER>9999999997-17-005113.hdr.sgml : 20170327 <ACCEPTANCE-DATETIME>20170327170446 <PAPER> ACCESSION NUMBER: 9999999997-17-005113 CONFORMED SUBMISSION TYPE: CERTNAS PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20170327 DATE AS OF CHANGE: 20170327 EFFECTIVENESS DATE: 20170327 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ICC Holdings, Inc. CENTRAL INDEX KEY: 0001681903 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 813359409 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: CERTNAS SEC ACT: 1934 Act SEC FILE NUMBER: 001-38046 FILM NUMBER: 17010273 BUSINESS ADDRESS: STREET 1: 225 20TH STREET CITY: ROCK ISLAND STATE: IL ZIP: 61201 BUSINESS PHONE: 309-793-1700 MAIL ADDRESS: STREET 1: 225 20TH STREET CITY: ROCK ISLAND STATE: IL ZIP: 61201 </SEC-HEADER> <DOCUMENT> <TYPE>CERTNAS <SEQUENCE>1 <FILENAME>9999999997-17-005113.paper <DESCRIPTION>AUTO-GENERATED PAPER DOCUMENT <TEXT> Document 1 - file: 9999999997-17-005113.paper
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