0001127602-23-002985.txt : 20230201
0001127602-23-002985.hdr.sgml : 20230201
20230201183428
ACCESSION NUMBER: 0001127602-23-002985
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20221231
FILED AS OF DATE: 20230201
DATE AS OF CHANGE: 20230201
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MEDINI PAUL BENNETT
CENTRAL INDEX KEY: 0001267926
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09463
FILM NUMBER: 23578212
MAIL ADDRESS:
STREET 1: THE ACE BUILDING
STREET 2: 17 WOODHOURNE AVE
CITY: HAMILTON BERMUDA
STATE: D0
ZIP: HM 08
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
2022-12-31
0
0
0000084246
RLI CORP
RLI
0001267926
MEDINI PAUL BENNETT
9025 N. LINDBERGH DRIVE
PEORIA
IL
61615
1
Restricted Stock Unit
Common Stock
563
563
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. 2023 Annual Shareholders' Meeting or (2) one year after the date of grant.
/s/ Jeffrey D. Fick, attorney-in-fact for Mr. Medini
2023-02-01
EX-24
2
doc1.txt
POWER OF ATTORNEY (PUBLIC): POWER OF ATTORNEY
Power of Attorney
Know all by these presents, that the undersigned hereby makes, constitutes and
appoints each of Jeffrey D. Fick, Chief Legal Officer & Corporate Secretary,
and Christina G. Dean, Assistant Corporate Secretary, or either of them acting
singly, and with full power of substitution and re-substitution, the
undersigned?s true and lawful attorney in fact (each of such persons and their
substitutes being referred to herein as the "Attorney-in-Fact"), with full
power to act for the undersigned and in the undersigned's name, place and
stead, in any and all capacities, to: 1. Prepare, execute, and submit to the
Securities and Exchange Commission ("SEC") a Form ID, including amendments
thereto, and any other documents necessary or appropriate to obtain codes and
passwords enabling the undersigned to make electronic filings with the SEC of
reports required or considered by the Attorney-in-Fact to be advisable under
Section 13 or Section 16 of the Securities Exchange Act of 1934 (the "Exchange
Act") or any rule or regulation of the SEC; 2. Prepare, execute and submit to
the SEC, RLI Corp. (the ?Company?), and/or any national securities exchange on
which the Company?s securities are listed any and all reports (including any
amendments thereto) the undersigned is required to file with the SEC, or which
the Attorney-in-Fact considers it advisable to file with the SEC, under Section
13 or Section 16 of the Exchange Act or any rule or regulation thereunder, or
under Rule 144 under the Securities Act of 1933 (?Rule 144?), with respect to
the any security of the Company, including Forms 3, 4 and 5, Schedules 13D and
13G, and Forms 144; and 3. Obtain, as the undersigned's representative and on
the undersigned's behalf, information regarding transactions in the Company's
equity securities from any third party, including the Company and any brokers,
dealers, employee benefit plan administrators and trustees, and the undersigned
hereby authorizes any such third party to release any such information to the
Attorney-in-Fact. The undersigned acknowledges that: a) This Power of Attorney
authorizes, but does not require, the Attorney-in-Fact to act in his or her
discretion on information provided to such Attorney-in-Fact without independent
verification of such information; b) Any documents prepared or executed by the
Attorney-in-Fact on behalf of the undersigned pursuant to this Power of
Attorney will be in such form and will contain such information as the
Attorney-in-Fact, in his or her discretion, deems necessary or desirable;
c) Neither the Company nor the Attorney-in-Fact assumes any liability for the
undersigned's responsibility to comply with the requirements of Section 13 or
Section 16 of the Exchange Act or Rule 144, any liability of the undersigned
for any failure to comply with such requirements, or any liability of the
undersigned for disgorgement of profits under Section 16(b) of the Exchange
Act; and d) This Power of Attorney does not relieve the undersigned from
responsibility for compliance with the undersigned's obligations under Section
13 or Section 16 of the Exchange Act, including, without limitation, the
reporting requirements under Section 13 or Section 16 of the Exchange Act. The
undersigned hereby grants to the Attorney-in-Fact full power and authority to
do and perform each and every act and thing requisite, necessary or advisable
to be done in connection with the foregoing, as fully, to all intents and
purposes, as the undersigned might or could do in person, hereby ratifying and
confirming all that the Attorney-in-Fact, or his or her substitute or
substitutes, shall lawfully do or cause to be done by authority of this Power
of Attorney. This Power of Attorney shall remain in full force and effect
until the undersigned is no longer required to file Forms 4 or 5 or Schedules
13D or 13G or Forms 144 with respect to the undersigned's holdings of and
transactions in securities of the Company, unless earlier revoked by the
undersigned in a signed writing delivered to the Attorney-in-Fact. This Power
of Attorney revokes all previous powers of attorney with respect to the subject
matter of this Power of Attorney. IN WITNESS WHEREOF, the undersigned has
executed this Power of Attorney as of the 9th day of November 2022. /s/ Paul
B. Medini