0001639093-19-000002.txt : 20190702 0001639093-19-000002.hdr.sgml : 20190702 20190702145628 ACCESSION NUMBER: 0001639093-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190702 DATE AS OF CHANGE: 20190702 EFFECTIVENESS DATE: 20190702 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ICC Holdings, LLC CENTRAL INDEX KEY: 0001639093 IRS NUMBER: 464102558 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-343360 FILM NUMBER: 19936773 BUSINESS ADDRESS: STREET 1: C/O ACE MANAGEMENT STREET 2: 14007 S. BELL RD., #223 CITY: HOMER GLEN STATE: IL ZIP: 60491 BUSINESS PHONE: 224-522-2945 MAIL ADDRESS: STREET 1: C/O ACE MANAGEMENT STREET 2: 14007 S. BELL RD., #223 CITY: HOMER GLEN STATE: IL ZIP: 60491 D 1 primary_doc.xml X0708 D LIVE 0001639093 ICC Holdings, LLC 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 (213) 881-4290 ILLINOIS District 5, LLC None Limited Liability Company true Mark de Souza 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 Executive Officer Director Oleg Movchan 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 Executive Officer Director Dustin Shroyer 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 Executive Officer Director Eric Diekhoff 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 Executive Officer Director Richard Angell 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 Director Kevin Pilarski 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 Executive Officer William T. Murray 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 Executive Officer Director George W. Wellde 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 Executive Officer James Oliff 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 Director Independent Board Advisor Tony Hunter 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 Director Independent Board Advisor Don Short 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 Director Independent Board Advisor Alissa Jubelirer 360 West Butterfield Road Suite 280 Elmhurst IL ILLINOIS 60126 Executive Officer Other Health Care Decline to Disclose 06b false 2018-10-15 false true false 100000 Darryl Glotthorn None Equus Financial Consulting LLC 131449 78 Pine Street New Canaan CT CONNECTICUT 06840 CA CALIFORNIA FL FLORIDA GA GEORGIA IL ILLINOIS MN MINNESOTA NJ NEW JERSEY NY NEW YORK NC NORTH CAROLINA OH OHIO TN TENNESSEE VT VERMONT WI WISCONSIN false John Randolph None Stonecrest Capital Markets, Inc. 39616 300 W. 6th Street Suite 1520 Austin TX TEXAS 78701 CA CALIFORNIA FL FLORIDA GA GEORGIA IL ILLINOIS MN MINNESOTA NJ NEW JERSEY NY NEW YORK NC NORTH CAROLINA OH OHIO TN TENNESSEE VT VERMONT WI WISCONSIN false 53200000 45644148 7555852 false 94 90000 true 0 53200000 true Repayment and/or conversion of debt obligations: $42,700,000; Outstanding expenses: $2,000,000; Acquisition and expansion capital: $3,500,000 and General working capital purposes: $5,000,000. false ICC Holdings, LLC Mark de Souza Mark de Souza Chief Executive Officer 2019-07-02