-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Wz2TpchBoV8jwCD/o26gHHiRNUgqux5SmdK/J/fjVJEUWNrBJWgkuNlPRS4ZRinG Xg5jUu2KVCjx0IIZcGtI1Q== 0000084246-97-000004.txt : 19970221 0000084246-97-000004.hdr.sgml : 19970221 ACCESSION NUMBER: 0000084246-97-000004 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970211 SROS: NYSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: RLI CORP CENTRAL INDEX KEY: 0000084246 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 370889946 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-10133 FILM NUMBER: 97523470 BUSINESS ADDRESS: STREET 1: 9025 N LINDBERGH DR CITY: PEORIA STATE: IL ZIP: 61615 BUSINESS PHONE: 3096921000 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: RLI CORP CENTRAL INDEX KEY: 0000084246 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 370889946 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 9025 N LINDBERGH DR CITY: PEORIA STATE: IL ZIP: 61615 BUSINESS PHONE: 3096921000 SC 13G/A 1 This document consists of one cover page and three pages. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 Amendment No. 12 RLI Corp. Name of Issuer Common Stock $1.00 Par Value Title of Class of Securities 749607 10 7 CUSIP NUMBER ____________________________________ No Fee is being paid with this statement. ____________________________________ 1) Name of Reporting Person and Social Security Number: Gerald D. Stephens, Social Security Number ###-##-#### 2) Check appropriate Box if Member of a Group: Not applicable 3) SEC use only 4) Citizenship: United States Number of Shares Beneficially Owned by Reporting Person with: 5) Sole Voting Power: 583,229 Shares 6) Shared Voting Power: As of December 31, 1996, the RLI Corp. Key Employee Excess Benefit Plan has allocated 24,790 shares of the Common Stock of RLI Corp. to the account of Gerald D. Stephens ("Key Employee"). All such Common Stock in the said Plan is voted by RLI Corp. Gerald D. Stephens is President and Chief Executive Officer of RLI Corp. All beneficial interest in such Common Stock is otherwise vested in the Key Employee or his designated beneficiary. RLI Corp. and the Trustee disclaim beneficial ownership in the Common Stock owned by the Key Employee Excess Benefit Plan. 7) Sole Dispositive Power 583,229 shares 8) Shared Dispositive Power: The RLI Corp. Employee Stock Ownership Plan and Trust ("ESOP") owns 1,258,335 shares (16.9%) of the Common Stock of RLI Corp. Under the terms of the ESOP, RLI Corp., as Plan Administrator, determines the distribution of shares according to the provisions of the Plan to eligible vested participants or their beneficiaries. Gerald D. Stephens is President and Chief Executive Officer of RLI Corp. 9) Aggregate Amount Beneficially Owned by Reporting Person: 608,019 10) The amount in row (9) excludes certain shares as to which beneficial ownership is disclaimed. 37,127 (See note below) 11) Percent of Class Represented by Shares Beneficially Owned: 7.8% 12) Type of Reporting Person: IN NOTE TO ITEM 10: Mr. Stephens disclaims any beneficial interest in the 28,143 shares owned by his wife, Helen M. Stephens. Mr. Stephens also disclaims any beneficial interest in 7,662 shares owned by his grandchildren, in uniform transfer to minors accounts of which he is custodian. Upon the death of his father, Gerald D. Stephens became trustee of a trust which owns 1,322 shares of Common Stock. Mr. Stephens' mother is entitled to the income and corpus of the trust, and Mr. Stephens disclaims any beneficial interest in the trust. Item 1(a) Name of Issuer: RLI Corp. Item 1(b) Address of Issuer's Principal Executive Offices: 9025 North Lindbergh Drive, Peoria, IL 61615 Item 2(a) Name of Person Filing: Gerald D. Stephens Item 2(b) Address of Principal Business Office: 9025 North Lindbergh Drive, Peoria, IL 61615 Item 2(c) Citizenship: United States Item 2(d) Title of Class of Securities: Common Stock $1.00 Par Value Item 2(e) CUSIP Number: 749607 10 7 Item 3 This statement is filed pursuant to Regulation 13D-G, Section 13d-1(c). Item 4 Ownership: Incorporated by reference to Items 5) through 11) of the cover page Item 5 Ownership of Five Percent or Less of a Class: Not applicable Item 6 Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company: Not applicable Item 7 Identification and Classification of Members of the Group: Not applicable Item 8 Notice of Dissolution of the Group: Not applicable After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. /s/ Gerald D. Stephens __________________________ Gerald D. Stephens Date: 02/03/97 -----END PRIVACY-ENHANCED MESSAGE-----