0001127602-22-003904.txt : 20220209 0001127602-22-003904.hdr.sgml : 20220209 20220209130417 ACCESSION NUMBER: 0001127602-22-003904 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: AHLMANN KAJ CENTRAL INDEX KEY: 0001114750 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09463 FILM NUMBER: 22605489 MAIL ADDRESS: STREET 1: 17945 ROSEWOOD STREET CITY: STILWELL STATE: KS ZIP: 66085 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 0001114750 AHLMANN KAJ 9025 N. LINDBERGH DRIVE PEORIA IL 61615 1 Common Stock 1984.23 D Common Stock 9425.9327 I Directors' Trust Restricted Stock Unit Common Stock 663 663 D Ownership reflects dividend reinvestment 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 Kaj Ahlmann 2022-02-09