0001104659-21-144031.txt : 20211126
0001104659-21-144031.hdr.sgml : 20211126
20211126175027
ACCESSION NUMBER: 0001104659-21-144031
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211123
FILED AS OF DATE: 20211126
DATE AS OF CHANGE: 20211126
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HERBERT TERESA A
CENTRAL INDEX KEY: 0001213778
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32244
FILM NUMBER: 211452356
MAIL ADDRESS:
STREET 1: 96 CUMMINGS POINT RD
CITY: STAMFORD
STATE: CT
ZIP: 06902
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: INDEPENDENCE HOLDING CO
CENTRAL INDEX KEY: 0000701869
STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311]
IRS NUMBER: 581407235
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 96 CUMMINGS POINT RD
CITY: STAMFORD
STATE: CT
ZIP: 06902
BUSINESS PHONE: 2033588000
MAIL ADDRESS:
STREET 1: 96 CUMMINGS POINT ROAD
CITY: STAMFORD
STATE: CT
ZIP: 06902
FORMER COMPANY:
FORMER CONFORMED NAME: STAMFORD CAPITAL GROUP INC
DATE OF NAME CHANGE: 19910925
FORMER COMPANY:
FORMER CONFORMED NAME: INDEPENDENCE HOLDING CO/
DATE OF NAME CHANGE: 19871115
4
1
tm2134025-2_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-11-23
0
0000701869
INDEPENDENCE HOLDING CO
IHC
0001213778
HERBERT TERESA A
96 CUMMINGS POINT ROAD
STAMFORD
CT
06902
1
1
0
0
President
Common Stock
2021-11-23
4
M
0
12000
19.95
A
92854
D
Common Stock
2021-11-23
4
F
0
6739
56.69
D
86115
D
Employee Stock Option (Right to Buy)
19.95
2021-11-23
4
M
0
12000
0
D
2021-12-01
Common Stock
12000
0
D
Represents a "net exercise"of stock option. The reporting person received 5,261 shares of common stock on net exercise option to purchase 12,000 shares of common stock. The Comapny withheld 6,739 shares of common stock underlying the option for payment of the exercise price and applicable taxes, based on the closing stock price on November 23, 2021 of $56.69.
Fully vested as of the date hereof.
/s/Teresa A. Herbert
2021-11-26