0001127602-17-017167.txt : 20170508 0001127602-17-017167.hdr.sgml : 20170508 20170508104521 ACCESSION NUMBER: 0001127602-17-017167 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170504 FILED AS OF DATE: 20170508 DATE AS OF CHANGE: 20170508 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: 17821027 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 2017-05-04 0000084246 RLI CORP RLI 0001192701 MICHAEL JONATHAN E 9025 N. LINDBERGH DRIVE PEORIA IL 61615 1 1 President Common Stock 677839.1218 D Common Stock 231961.5341 I By Empl. Stock Ownership Plan Common Stock 125065.621 I By Key Employee Benefit Plan Common Stock 50473.5076 I By Trust Common Stock 20458.0739 I J.E. Michael 2014 GRAT 1 dtd 08/05/14 Common Stock 23137.6376 I J.E. Michael 2014 GRAT 2 dtd 08/05/14 Stock Option 56.71 2017-05-04 4 A 0 15000 0 A 2018-05-04 2025-05-04 Common Stock 15000 15000 D Ownership reflects dividend reinvestment Balance reflects annual company contributions and dividend reinvestment. 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 2017-05-08