0001127602-22-010401.txt : 20220325
0001127602-22-010401.hdr.sgml : 20220325
20220325162127
ACCESSION NUMBER: 0001127602-22-010401
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220323
FILED AS OF DATE: 20220325
DATE AS OF CHANGE: 20220325
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Govil Shivani
CENTRAL INDEX KEY: 0001877086
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39447
FILM NUMBER: 22771696
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
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2022-03-23
0001818201
CCC Intelligent Solutions Holdings Inc.
CCCS
0001877086
Govil Shivani
C/O CCC INTELLIGENT SOLUTIONS HOLDINGS
167 N. GREEN STREET, 9TH FLOOR
CHICAGO
IL
60607
1
See Remarks
Performance Restricted Stock Unit
0
2022-03-23
4
A
0
23629
0
A
Common Stock
23629
23629
D
Restricted Stock Unit
0
2022-03-23
4
A
0
47259
0
A
Common Stock
47259
47259
D
The Reporting Person was granted Performance Restricted Stock Units ("PSUs") which represent a contingent right to receive, at the Issuer's discretion, (i) a distribution of a number of shares of the Issuer's Common Stock equal to 0% to 200% (or such greater percentage as is determined by the Board of Directors of the Issuer) of the PSUs, (ii) an amount of cash equal to the fair market value of such number of shares of the Issuer's Common Stock on the date immediately preceding the date of settlement of the PSUs, or (iii) a combination thereof, in all cases based on the total shareholder return realized by the Issuer's stockholders over the period January 1, 2022 through December 31, 2024 and generally subject to the Reporting Person's continued service to the Issuer through the Issuer's certification of the performance results.
The Reporting Person was granted Restricted Stock Units ("RSUs") which represent a contingent right to receive, at the Issuer's discretion, (i) one share of Common Stock for each 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 RSU, or (iii) a combination thereof. Twenty-five (25%) of the RSUs vest upon each of the first four anniversaries of the Grant Date, generally subject to the Reporting Person's continued service to the Issuer through each such vesting and settlement date.
Senior Vice President, Chief Product Officer
/s/ Kevin Kane as Attorney-in-Fact for Shivani Govil
2022-03-25