SEC Form 4 · accession 0001127602-16-054052
RLI CORP · RLI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jennifer L Klobnak
Other
Period of report
May 31, 2016
Accepted (ET)
Jun 1, 2016 · 10:08 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000084246
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 31, 2016 | M | 280 | $17.865 | A | 6,348 | D | |
| Common Stock | May 31, 2016 | M | 280 | $25.35 | A | 6,628 | D | |
| Common Stock | May 31, 2016 | M | 7,200 | $29.42 | A | 13,828 | D | |
| Common Stock | May 31, 2016 | F | 4,748 | $66.11 | D | 9,080 | D | |
| Common StockF1 | holding | — | — | — | 13,822 | I | RLI Corp. Employee Stock Ownership Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF2,F3 | $17.865 | May 31, 2016 | M | 280 | D | May 5, 2012 | May 5, 2019 | Common Stock | 280 | 0 | D |
| Stock OptionF2,F3 | $25.35 | May 31, 2016 | M | 280 | D | May 3, 2013 | May 3, 2020 | Common Stock | 280 | 280 | D |
| Stock OptionF2,F3 | $29.42 | May 31, 2016 | M | 7,200 | D | May 2, 2014 | May 2, 2021 | Common Stock | 7,200 | 4,800 | D |
Explanation of responses
- F1Balance reflects annual company contributions and dividend reinvestment.
- F2Exercise price reflects prior adjustments as a result of special dividends.
- F3Pursuant to option schedule wherein 20% of the aggregate number of shares granted may be exercised commencing one year from grant date and each year thereafter in 20% increments.