SEC Form 4 · accession 0001127602-18-030881
ERIE INDEMNITY CO · ERIE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
J Ralph Borneman Jr.
Director
Period of report
Oct 24, 2018
Accepted (ET)
Oct 24, 2018 · 10:45 am 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 | holding | — | — | — | 50,000 | I | J. Ralph Borneman, Jr. TTEE J. Ralph Borneman, Jr. Revocable Trust DTD 02/16/2015 |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Directors' Deferred Compensation Share CreditsF1,F3 | $0.00 | Oct 24, 2018 | J | 106 | A | — | — | Class A Common Stock | 106 | 15,330 | D |
Explanation of responses
- F1Conversion price is not applicable to shares granted under the Outside Directors' Deferred Compensation Plan.
- F2Acquired under dividend reinvestment for Directors' Deferred Compensation Plan.
- F3The shares subject to this reporting are Share Credits which are periodically credited to the accounts of certain Directors of Erie Indemnity Company pursuant to its Outside Directors' Stock Plan. These Share Credits represent the right to receive an equivalent number of shares of Erie Indemnity Company Class A common stock when the reporting individual's service as a Director of the Company ends. There are no exercisable or expiration dates for these securities.