SEC Form 4 · accession 0001127602-17-015427

ERIE INDEMNITY CO · ERIE

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Apr 21, 2017

Accepted (ET)

Apr 25, 2017 · 2:31 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000922621

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Class A Common Stock	Apr 21, 2017	J	4	$123.42	A	682	I	By IRA For Self

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Directors' Deferred Compensation Phantom Units^F2,F4,F5	$0.00	Apr 21, 2017	J	89	A	—	—	Class A Common Stock	89	13,951	D

F1Additional shares acquired pursuant to dividend reinvestment in filer's brokerage account.
F2Conversion price is not applicable to shares granted under the Outside Directors' Deferred Compensation Plan.
F3Acquired under dividend reinvestment for Directors' Deferred Compensation Plan
F4The shares subject to this reporting are phantom Share Credits which are periodically credited to the accounts of certain Directors of Erie Indemnity Company pursuant to its Outside Directors Stock Plan. These Credit Shares are actually paid to the reporting individual in shares of Erie Indemnity Company Class A Common Stock when their service as a Director of Erie Indemnity Company ends. There is no exercisable date for these securities.
F5The shares subject to this reporting are phantom Share Credits which are periodically credited to the accounts of certain Directors of Erie Indemnity Company pursuant to its Outside Directors Stock Plan. These Credit Shares are actually paid to the reporting individual in shares of Erie Indemnity Company Class A Common Stock when their service as a Director of Erie Indemnity Company ends. There is no expiration date for these securities.