0001127602-19-016103.txt : 20190424 0001127602-19-016103.hdr.sgml : 20190424 20190424102100 ACCESSION NUMBER: 0001127602-19-016103 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190422 FILED AS OF DATE: 20190424 DATE AS OF CHANGE: 20190424 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: 19762907 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: DE 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 2019-04-22 0000084246 RLI CORP RLI 0001192701 MICHAEL JONATHAN E 9025 N. LINDBERGH DRIVE PEORIA IL 61615 1 1 President & CEO Common Stock 2019-04-22 4 M 0 4000 0 A 727308.6438 D Common Stock 2019-04-22 4 M 0 4000 0 A 731308.6438 D Common Stock 2019-04-22 4 M 0 12000 0 A 743308.6438 D Common Stock 2019-04-22 4 M 0 12000 0 A 755308.6438 D Common Stock 2019-04-22 4 F 0 24067 78.67 D 731241.6438 D Common Stock 249204.8777 I By Empl. Stock Ownership Plan Common Stock 134154.073 I By Key Employee Benefit Plan Common Stock 54141.3762 I By Trust Common Stock 14486.4687 I Jonathan E. Michael Family Trust Number 1 Common Stock 22777.8139 I Jonathan E. Michael Family Trust Number 2 Stock Option 40.55 2019-04-22 4 M 0 4000 0 D 2014-11-01 2021-11-01 Common Stock 4000 0 D Stock Option 35.43 2019-04-22 4 M 0 4000 0 D 2015-02-03 2022-02-03 Common Stock 4000 0 D Stock Option 44.26 2019-04-22 4 M 0 12000 0 D 2015-11-03 2022-11-03 Common Stock 12000 3000 D Stock Option 46.82 2019-04-22 4 M 0 12000 0 D 2016-02-02 2023-02-02 Common Stock 12000 3000 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 2019-04-24