0001127602-22-003900.txt : 20220209 0001127602-22-003900.hdr.sgml : 20220209 20220209125626 ACCESSION NUMBER: 0001127602-22-003900 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220209 DATE AS OF CHANGE: 20220209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAILY JOHN THOMAS CENTRAL INDEX KEY: 0001230667 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09463 FILM NUMBER: 22605464 MAIL ADDRESS: STREET 1: 919 THIRD AVENUE STREET 2: 10TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 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 0001230667 BAILY JOHN THOMAS 9025 N. LINDBERGH DRIVE PEORIA IL 61615 1 Common Stock 6000 I By Wife Common Stock 31186.2274 D Common Stock 44760.914 I Directors' Trust Restricted Stock Unit Common Stock 663 663 D Ownership reflects dividend reinvestment. 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 Mr. Baily 2022-02-09