Statement of Changes in Beneficial Ownership (4)
13 Abril 2022 - 5:17PM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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ADVENT INTERNATIONAL CORP/MA |
2. Issuer Name and Ticker or Trading Symbol
CCC Intelligent Solutions Holdings Inc.
[
CCCS
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
PRUDENTIAL TOWER, 800 BOYLSTON STREET, SUITE 3300 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
4/11/2022 |
(Street)
BOSTON, MA 02199-8069
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
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X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 4/11/2022 | | S(1) | | 12841354 | D | $9.28 | 260498239 | I | See Notes (2)(6) |
Common Stock | 4/11/2022 | | S(1) | | 406142 | D | $9.28 | 8238944 | I | See Notes (3)(6) |
Common Stock | 4/11/2022 | | S(1) | | 4258699 | D | $9.28 | 86391466 | I | See Notes (4)(6) |
Common Stock | | | | | | | | 500000 | I | See Notes (5)(6) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | See Exhibit 99.1 for text of footnote (1). |
(2) | See Exhibit 99.1 for text of footnote (2). |
(3) | See Exhibit 99.1 for text of footnote (3). |
(4) | See Exhibit 99.1 for text of footnote (4). |
(5) | See Exhibit 99.1 for text of footnote (5). |
(6) | See Exhibit 99.1 for text of footnote (6). |
Remarks: Christopher Egan, a Managing Partner of Advent, Eric Wei, a Managing Director of Advent, and Lauren Young, a Managing Director of Advent (collectively, the "Advent Directors"), each serve on the board of directors of the Issuer, and have been deputized to represent the Reporting Persons on the board of directors. By virtue of the Advent Directors' representation, for purposes of Section 16 of the Securities Exchange Act of 1934, each of the Reporting Persons may be deemed directors by deputization of the Issuer. The Advent Directors have filed separate Section 16 reports disclosing securities of the Issuer that they may be deemed to beneficially own for Section 16 purposes.
Exhibit 99.1 (Footnotes to Form 4) and Exhibit 99.2 (Signatures and Joint Filer Information) are incorporated by reference. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
ADVENT INTERNATIONAL CORP/MA PRUDENTIAL TOWER 800 BOYLSTON STREET, SUITE 3300 BOSTON, MA 02199-8069 | X | X |
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Advent International GPE VIII, LLC PRUDENTIAL TOWER 800 BOYLSTON STREET, SUITE 3300 BOSTON, MA 02199-8069 | X | X |
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Cypress Investor Holdings, LP PRUDENTIAL TOWER 800 BOYLSTON STREET BOSTON, MA 02199 | X | X |
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Advent International GPE VIII-C Limited Partnership PRUDENTIAL TOWER 800 BOYLSTON STREET, SUITE 3300 BOSTON, MA 02199-8069 | X | X |
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GPE VIII CCC Co-Investment (Delaware) Limited Partnership PRUDENTIAL TOWER 800 BOYLSTON STREET, SUITE 3300 BOSTON, MA 02199 | X | X |
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Cypress Investment GP, LLC PRUDENTIAL TOWER 800 BOYLSTON STREET, SUITE 3300 BOSTON, MA 02199 | X | X |
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GPE VIII GP S.a.r.l. PRUDENTIAL TOWER 800 BOYLSTON STREET, SUITE 3300 BOSTON, MA 02199-8069 | X | X |
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GPE VIII GP Limited Partnership PRUDENTIAL TOWER 800 BOYLSTON STREET, SUITE 3300 BOSTON, MA 02199-8069 | X | X |
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Signatures
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ADVENT INTERNATIONAL CORPORATION, By: /s/ Neil Crawford, Name: Neil Crawford, Title: Director, Fund Administration | | 4/13/2022 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
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