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