0001127602-16-067991.txt : 20161122 0001127602-16-067991.hdr.sgml : 20161122 20161122115316 ACCESSION NUMBER: 0001127602-16-067991 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161121 FILED AS OF DATE: 20161122 DATE AS OF CHANGE: 20161122 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: MICHAEL JONATHAN E CENTRAL INDEX KEY: 0001192701 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09463 FILM NUMBER: 162012208 MAIL ADDRESS: STREET 1: C/O RLI CORP STREET 2: 9025 N. LINDBERGH DR. CITY: PEORIA STATE: IL ZIP: 61615 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-11-21 0000084246 RLI CORP RLI 0001192701 MICHAEL JONATHAN E 9025 N. LINDBERGH DRIVE PEORIA IL 61615 1 1 President Common Stock 2016-11-21 4 M 0 6000 22.295 A 659243.5738 D Common Stock 2016-11-21 4 M 0 24000 24.915 A 683243.5738 D Common Stock 2016-11-21 4 M 0 18000 28.24 A 701243.5738 D Common Stock 2016-11-21 4 M 0 12000 29.42 A 713243.5738 D Common Stock 2016-11-21 4 M 0 12000 35.27 A 725243.5738 D Common Stock 2016-11-21 4 M 0 50339 62.80 D 674904.5738 D Common Stock 223067.388 I By Empl. Stock Ownership Plan Common Stock 120491.53 I By Key Employee Benefit Plan Common Stock 48627.2041 I By Trust Common Stock 20325.1251 I J.E. Michael 2014 GRAT 1 dtd 08/05/14 Common Stock 22987.2753 I J.E. Michael 2014 GRAT 2 dtd 08/05/14 Stock Option 22.295 2016-11-21 4 M 0 6000 0 D 2012-11-01 2019-11-01 Common Stock 6000 0 D Stock Option 24.915 2016-11-21 4 M 0 24000 0 D 2013-11-01 2020-11-01 Common Stock 24000 6000 D Stock Option 28.24 2016-11-21 4 M 0 18000 0 D 2014-02-01 2021-02-01 Common Stock 18000 12000 D Stock Option 29.42 2016-11-21 4 M 0 12000 0 D 2014-05-02 2021-05-02 Common Stock 12000 8000 D Stock Option 35.27 2016-11-21 4 M 0 12000 0 D 2014-08-01 2021-08-01 Common Stock 12000 8000 D Ownership reflects dividend reinvestment Balance reflects annual company contributions and 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 adjusted to reflect $5 RLI extraordinary dividend declared 11/17/11. 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. /s/ Jonathan E. Michael 2016-11-22