0001127602-18-001614.txt : 20180111 0001127602-18-001614.hdr.sgml : 20180111 20180111155049 ACCESSION NUMBER: 0001127602-18-001614 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20180111 DATE AS OF CHANGE: 20180111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Klobnak Jennifer L CENTRAL INDEX KEY: 0001666279 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09463 FILM NUMBER: 18523658 MAIL ADDRESS: STREET 1: 9025 N LINDBERGH DRIVE 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 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2017-12-31 0 0 0000084246 RLI CORP RLI 0001666279 Klobnak Jennifer L 9025 N. LINDBERGH DRIVE PEORIA IL 61615 1 Sr. VP, Operations - RLI Ins. Common Stock 11912.165 D Common Stock 15394.7228 I RLI Corp. Employee Stock Ownership Plan Stock Option 25.35 2013-05-03 2020-05-03 Common Stock 280 280 D Stock Option 23.195 2013-09-03 2020-09-03 Common Stock 2000 2000 D Stock Option 29.42 2014-05-02 2021-05-02 Common Stock 4800 4800 D Stock Option 38.21 2015-05-01 2022-05-01 Common Stock 9000 9000 D Stock Option 47.61 2016-05-07 2023-05-07 Common Stock 15000 15000 D Stock Option 64.09 2017-05-05 2024-05-05 Common Stock 11000 11000 D Stock Option 56.71 2018-05-04 2025-05-04 Common Stock 22000 22000 D Balance reflects dividend reinvestment. Balance reflects annual company contributions and dividend reinvestment. Exercise price reflects prior adjustments as a result of special dividends. 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/ Jennifer L. Klobnak 2018-01-11