icch20250319_1512g.htm

15-12G 1 icch20250319_1512g.htm FORM 15-12G icch20250319_1512g.htm

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 15

CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION

UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934

OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934.

ICC Holdings, Inc.
(Exact name of registrant as specified in its charter)

Pennsylvania

(State or other jurisdiction

of incorporation)

001-38046

(Commission

File Number)

81-3359409

(IRS Employer

Identification No.)

225 20th Street
Rock Island, Illinois 61201

(Address of principal executive offices) (Zip Code)

(309) 793-1700

(Registrant’s telephone number, including area code)

NotApplicable

(Former name or former address, if changed since last report)

Common Stock, $0.01 par value per share

(Title of each class of securities covered by this Form)

None

(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:

Rule 12g-4(a)(1) ☒

Rule 12g-4(a)(2) ☐

Rule 12h-3(b)(1)(i) ☒

Rule 12h-3(b)(1)(ii) ☐

Rule 15d-6 ☐

Rule 15d-22(b) ☐

Approximate number of holders of record as of the certification or notice date: one (1).

SIGNATURE

Pursuant to the requirements of the Securities ExchangeAct of 1934, as amended, the Registrant has duly caused this certification/notice on Form 15 to be signed on its behalf by the undersigned duly authorized person.

	ICC HOLDINGS, INC.

	By:	/s/ Arron K. Sutherland
	Name:	Arron K. Sutherland
	Title:	President and Chief Executive Officer

Date: March 24, 2025

SEC Form 15-12G filed by ICC Holdings Inc.