0001127602-16-065509.txt : 20161031 0001127602-16-065509.hdr.sgml : 20161031 20161031120047 ACCESSION NUMBER: 0001127602-16-065509 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161031 FILED AS OF DATE: 20161031 DATE AS OF CHANGE: 20161031 ISSUER: 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 BUSINESS ADDRESS: STREET 1: 9025 N. LINDBERGH DRIVE CITY: PEORIA STATE: IL ZIP: 61615 BUSINESS PHONE: 3096921000 MAIL ADDRESS: STREET 1: 9025 N. LINDBERGH DRIVE CITY: PEORIA STATE: IL ZIP: 61615 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kennedy Daniel O CENTRAL INDEX KEY: 0001354119 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09463 FILM NUMBER: 161960685 MAIL ADDRESS: STREET 1: 9025 N. LINDBERGH DRIVE CITY: PEORIA STATE: IL ZIP: 61615 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-10-31 1 0000084246 RLI CORP RLI 0001354119 Kennedy Daniel O 9025 N. LINDBERGH DRIVE PEORIA IL 61615 1 Vice President General Counsel Common Stock 56169.731 D Common Stock 9016.4542 I By Esop Common Stock 1300.5823 I By Executive Deferred Compensation Stock Option 25.35 2013-05-03 2020-05-03 Common Stock 4000 4000 D Stock Option 29.42 2014-05-02 2021-05-02 Common Stock 8000 8000 D Stock Option 38.21 2015-05-01 2022-05-01 Common Stock 8100 8100 D Stock Option 47.61 2016-05-07 2023-05-07 Common Stock 13500 13500 D Stock Option 64.09 2017-05-05 2024-05-05 Common Stock 10000 10000 D Ownership reflects dividend reinvestment. Balance reflects annual company contributions and dividend reinvestment. Ownership reflects dividend reinvestment Stock option grant price adjusted to reflect $2.00 extraordinary dividend declared 11-12-15. Stock option grant price adjusted to reflect $3.00 extraordinary dividend declared 11/13/14. Stock option grant price adjusted to reflect $3.00 extraordinary dividend declared 11/14/13. Stock option grant price adjusted to reflect $5 extraordinary dividend declared 11/14/12. Stock option grant price and number of stock options adjusted to reflect 2-for-1 stock split on 01/15/14. Pursuant 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. This Form 4 is being filed to reflect that Daniel O. Kennedy is no longer subject to Section 16 reporting, effective October 28, 2016. /s/ Daniel O. Kennedy 2016-10-31