0001127602-22-002923.txt : 20220202 0001127602-22-002923.hdr.sgml : 20220202 20220202145653 ACCESSION NUMBER: 0001127602-22-002923 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220202 DATE AS OF CHANGE: 20220202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Roberts Debbie Sharell CENTRAL INDEX KEY: 0001750705 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09463 FILM NUMBER: 22583103 MAIL ADDRESS: STREET 1: 204 W. 59TH STREET CITY: BURR RIDGE STATE: IL ZIP: 60527 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 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2021-12-31 0 0 0000084246 RLI CORP RLI 0001750705 Roberts Debbie Sharell 9025 N. LINDBERGH DRIVE PEORIA IL 61615 1 Common Stock 5677.968 I Directors' Trust Restricted Stock Unit Common Stock 663 663 D Upon vesting, each restricted stock unit represents the right to receive one share of common stock. These restricted stock units are scheduled to vest 100% on the earlier of (1) the date of the RLI Corp. 2022 Annual Shareholders' Meeting or (2) one year after the date of grant. /s/ Jeffrey D. Fick, attorney-in-fact for Ms. Roberts 2022-02-02