0001127602-23-002987.txt : 20230201
0001127602-23-002987.hdr.sgml : 20230201
20230201183812
ACCESSION NUMBER: 0001127602-23-002987
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221231
FILED AS OF DATE: 20230201
DATE AS OF CHANGE: 20230201
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Klobnak Jennifer L
CENTRAL INDEX KEY: 0001666279
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09463
FILM NUMBER: 23578223
MAIL ADDRESS:
STREET 1: 9025 N LINDBERGH DRIVE
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
5
1
form5.xml
PRIMARY DOCUMENT
X0306
5
2022-12-31
0
0
0000084246
RLI CORP
RLI
0001666279
Klobnak Jennifer L
9025 N. LINDBERGH DRIVE
PEORIA
IL
61615
1
Chief Operating Officer
Common Stock
33237.165
D
Common Stock
19343.1976
I
RLI Corp. Employee Stock Ownership Plan
Stock Option
86.24
2021-08-21
2028-08-21
Common Stock
20000
20000
D
Stock Option
106.02
2022-05-06
2029-05-06
Common Stock
14000
14000
D
Stock Option
109.60
2023-05-05
2030-05-05
Common Stock
43000
43000
D
Stock Option
56.14
2019-05-03
2026-05-03
Common Stock
20000
20000
D
Stock Option
75.66
2020-05-02
2027-05-02
Common Stock
20000
20000
D
Balance reflects dividend reinvestment.
Balance reflects annual company contributions and dividend reinvestment.
Stock option grant price adjusted to reflect $7.00 extraordinary dividend declared 11-10-2022.
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/ Jennifer L. Klobnak
2023-02-01