0001127602-17-034073.txt : 20171206 0001127602-17-034073.hdr.sgml : 20171206 20171206165006 ACCESSION NUMBER: 0001127602-17-034073 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171206 FILED AS OF DATE: 20171206 DATE AS OF CHANGE: 20171206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STONE MICHAEL J CENTRAL INDEX KEY: 0001192707 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: 171242779 MAIL ADDRESS: STREET 1: C/O RLI CORP STREET 2: 9025 N. LINDBERGH DR. CITY: PEORIA STATE: IL ZIP: 61615 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 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-12-06 0000084246 RLI CORP RLI 0001192707 STONE MICHAEL J 18808 GANTON AVENUE BRADENTON FL 34202 1 Common Stock 2017-12-06 5 J 0 E 2023.155 58.955 A 295597.1688 D Common Stock 2017-12-06 5 J 0 E 2023.155 58.955 D 14301 I M.J. Stone Grantor Retained Annuity Trust (M5) dtd. 10/31/11 Common Stock 2017-12-06 5 J 0 E 105 58.955 A 295702.1688 D Common Stock 2017-12-06 5 J 0 E 105 58.955 D 22242.55 I M.J. Stone Grantor Retained Annuity Trust (M6) dtd. 10/31/11 Common Stock 40203.851 I By Trust Common Stock 880 I By Wife, Custodian UTMA-FL Common Stock 7819 I M.J. Stone Grantor Retained Annuity Trust (M9) dtd. 01/30/13 Shares transferred from the M.J. Stone Grantor Retained Annuity Trust (M-5) to M.J. Stone. Ownership reflects dividend reinvestment Shares transferred from the M.J. Stone Grantor Retained Annuity Trust (M-6) to M.J. Stone. /s/ Michael J. Stone 2017-12-06