SEC Form 5 · accession 0001127602-19-002426
RLI CORP · RLI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jennifer L Klobnak
Other
Period of report
Dec 31, 2018
Accepted (ET)
Jan 22, 2019 · 10:39 am EST
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 StockF1 | holding | — | — | — | 14,468 | D | ||
| Common StockF2 | holding | — | — | — | 16,118 | 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 OptionF3,F4 | $38.21 | holding | — | — | — | May 1, 2015 | May 1, 2022 | Common Stock | 9,000 | 9,000 | D |
| Stock OptionF3,F4 | $47.61 | holding | — | — | — | May 7, 2016 | May 7, 2023 | Common Stock | 15,000 | 15,000 | D |
| Stock OptionF4 | $64.09 | holding | — | — | — | May 5, 2017 | May 5, 2024 | Common Stock | 11,000 | 11,000 | D |
| Stock OptionF4 | $56.71 | holding | — | — | — | May 4, 2018 | May 4, 2025 | Common Stock | 22,000 | 22,000 | D |
| Stock OptionF4 | $63.14 | holding | — | — | — | May 3, 2019 | May 3, 2026 | Common Stock | 20,000 | 20,000 | D |
Explanation of responses
- F1Balance reflects dividend reinvestment.
- F2Balance reflects annual company contributions and dividend reinvestment.
- F3Exercise price reflects prior adjustments as a result of special dividends.
- F4Pursuant 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.