0001127602-18-001616.txt : 20180111 0001127602-18-001616.hdr.sgml : 20180111 20180111155559 ACCESSION NUMBER: 0001127602-18-001616 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: 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09463 FILM NUMBER: 18523674 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 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2017-12-31 0 0 0000084246 RLI CORP RLI 0001192701 MICHAEL JONATHAN E 9025 N. LINDBERGH DRIVE PEORIA IL 61615 1 1 President & CEO Common Stock 694616.0058 D Common Stock 241304.8291 I By Empl. Stock Ownership Plan Common Stock 130129.33 I By Key Employee Benefit Plan Common Stock 52516.812 I By Trust Common Stock 17562.2222 I Jonathan E. Michael Family Trust Number 1 Common Stock 23394.1475 I Jonathan E. Michael Family Trust Number 2 Stock Option 28.24 2014-02-01 2021-02-01 Common Stock 6000 6000 D Stock Option 29.42 2014-05-02 2021-05-02 Common Stock 4000 4000 D Stock Option 35.27 2014-08-01 2021-08-01 Common Stock 8000 8000 D Stock Option 40.55 2014-11-01 2021-11-01 Common Stock 20000 20000 D Stock Option 35.43 2015-02-01 2022-02-01 Common Stock 20000 20000 D Stock Option 38.21 2015-05-01 2022-05-01 Common Stock 15000 15000 D Stock Option 38.15 2015-08-01 2022-08-01 Common Stock 15000 15000 D Stock Option 44.26 2015-11-03 2022-11-03 Common Stock 15000 15000 D Stock Option 46.82 2016-02-02 2023-02-02 Common Stock 15000 15000 D Stock Option 47.61 2016-05-07 2023-05-07 Common Stock 10000 10000 D Stock Option 54.14 2016-08-03 2023-08-03 Common Stock 10000 10000 D Stock Option 59.04 2016-11-02 2023-11-02 Common Stock 10000 10000 D Stock Option 61.27 2017-02-01 2024-02-01 Common Stock 10000 10000 D Stock Option 64.09 2017-05-05 2024-05-05 Common Stock 8750 8750 D Stock Option 68.66 2017-08-01 2024-08-01 Common Stock 8750 8750 D Stock Option 54.81 2017-11-01 2024-11-01 Common Stock 8750 8750 D Stock Option 59.77 2018-02-01 2025-02-01 Common Stock 8750 8750 D Stock Option 56.71 2018-05-04 2025-05-04 Common Stock 15000 15000 D Stock Option 58.01 2018-08-01 2025-08-01 Common Stock 15000 15000 D Stock Option 58.73 2018-11-01 2025-11-01 Common Stock 15000 15000 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 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 2018-01-11