SEC Form 4/A · accession 0001127602-17-031152

ERIE INDEMNITY CO · ERIE

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

This is an amendment (Form 4/A). It replaces an earlier filing for the same period.

Reporting owner

Director

Period of report

Nov 1, 2017

Accepted (ET)

Nov 3, 2017 · 12:05 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000922621

Table I — non-derivative securities

No Table I lines on this filing.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Directors' Deferred Compensation Phantom Units^F5,F1,F3,F4	$0.00	Nov 1, 2017	J	121	A	—	—	Class A Common Stock	121	247	D

F1Conversion price is not applicable to shares granted under the Outside Directors' Deferred Compensation Plan.
F2Acquired under Directors' Deferred Compensation Plan.
F3The 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.
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 expiration date for these securities.
F5Amendment of original Form 4 filed on 11/2/2017 to correct price of derivative security. No other changes have been made.