0001127602-12-014505.txt : 20120424 0001127602-12-014505.hdr.sgml : 20120424 20120424150437 ACCESSION NUMBER: 0001127602-12-014505 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120423 FILED AS OF DATE: 20120424 DATE AS OF CHANGE: 20120424 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILBURN ROBERT C CENTRAL INDEX KEY: 0001177129 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 12775855 MAIL ADDRESS: STREET 1: 11921 TRIPLE CROWN ROAD CITY: RESTON STATE: VA ZIP: 20191 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 X0305 4 2012-04-23 0000922621 ERIE INDEMNITY CO ERIE 0001177129 WILBURN ROBERT C 11921 TRIPLE CROWN ROAD RESTON VA 20191 1 Class A Common Stock 3000 D Directors' Deferred Compensation Phantom Units 0 2012-04-23 4 J 0 63.57 75.40 A Class A Common Stock 63.57 8739.0211 D Conversion price is not applicable to shares granted under the Outside Directors' Deferred Compensation Plan. Acquired under dividend reinvestment for 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 2012-04-24