0001127602-12-029020.txt : 20121024
0001127602-12-029020.hdr.sgml : 20121024
20121024114410
ACCESSION NUMBER: 0001127602-12-029020
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121022
FILED AS OF DATE: 20121024
DATE AS OF CHANGE: 20121024
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: 121157884
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
X0306
4
2012-10-22
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
2012-10-22
4
J
0
82.393
63.09
A
Class A Common Stock
82.393
9042.9011
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
2012-10-24