0001127602-12-029686.txt : 20121105 0001127602-12-029686.hdr.sgml : 20121105 20121105114026 ACCESSION NUMBER: 0001127602-12-029686 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121101 FILED AS OF DATE: 20121105 DATE AS OF CHANGE: 20121105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ishwar Jayashree CENTRAL INDEX KEY: 0001493160 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 121179076 MAIL ADDRESS: STREET 1: 100 ERIE INSURANCE PLACE CITY: ERIE STATE: PA ZIP: 16530 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 2012-11-01 0000922621 ERIE INDEMNITY CO ERIE 0001493160 Ishwar Jayashree 100 ERIE INSURANCE PLACE ERIE PA 16530 1 Senior Vice President Class A Common Stock 2012-11-01 4 J 0 0.061 62.22 A 5.183 D Participant directed transaction under 401(k) Plan Linda A. Etter, Power of Attorney 2012-11-05