0001127602-12-003603.txt : 20120202 0001127602-12-003603.hdr.sgml : 20120202 20120202135657 ACCESSION NUMBER: 0001127602-12-003603 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120201 FILED AS OF DATE: 20120202 DATE AS OF CHANGE: 20120202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stover Richard L CENTRAL INDEX KEY: 0001489967 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 12565419 MAIL ADDRESS: STREET 1: 1203 DEERING BAY COURT CITY: GIBSONIA STATE: PA ZIP: 15044-8043 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ERIE INDEMNITY CO CENTRAL INDEX KEY: 0000922621 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 250466020 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 ERIE INSURANCE PL CITY: ERIE STATE: PA ZIP: 16530 BUSINESS PHONE: 8148702000 MAIL ADDRESS: STREET 1: 100 ERIE INSURANCE PLACE CITY: ERIE STATE: PA ZIP: 16530 4 1 form4.xml PRIMARY DOCUMENT X0304 4 2012-02-01 0000922621 ERIE INDEMNITY CO ERIE 0001489967 Stover Richard L 1203 DEERING BAY COURT GIBSONIA PA 15044-8043 1 Class A Common Stock 500 I By IRA For Self Class A Common Stock 522.5011 I Stover & Associates SEP FBO Richard L. Stover Directors' Deferred Compensation Phantom Units 0 2012-02-01 4 J 0 152.393 76.67 A Class A Common Stock 152.393 1403.391 D Conversion price is not applicable to shares granted under the Outside Directors' Deferred Compensation Plan. Acquired under Directors' Deferred Compensation Plan The shares subject to this reporting are phantom Share Credits which are periodically credited to the accounts of certain Directors of Erie Indemnity Company pursuant to its Outside Directors Stock Plan. These Credit Shares are actually paid to the reporting individual in shares of Erie Indemnity Company Class A Common Stock when their service as a Director of Erie Indemnity Company ends. There is no exercisable date for these securities. The shares subject to this reporting are phantom Share Credits which are periodically credited to the accounts of certain Directors of Erie Indemnity Company pursuant to its Outside Directors Stock Plan. These Credit Shares are actually paid to the reporting individual in shares of Erie Indemnity Company Class A Common Stock when their service as a Director of Erie Indemnity Company ends. There is no expiration date for these securities. Linda A. Etter, Power of Attorney 2012-02-02