0001127602-17-022450.txt : 20170630
0001127602-17-022450.hdr.sgml : 20170630
20170630151138
ACCESSION NUMBER: 0001127602-17-022450
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20170629
FILED AS OF DATE: 20170630
DATE AS OF CHANGE: 20170630
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ingram Robert C III
CENTRAL INDEX KEY: 0001426584
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-24000
FILM NUMBER: 17941798
MAIL ADDRESS:
STREET 1: 100 ERIE INSURANCE PLACE
CITY: ERIE
STATE: PA
ZIP: 16530
FORMER NAME:
FORMER CONFORMED NAME: Ingram Robert
DATE OF NAME CHANGE: 20080208
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-06-29
0000922621
ERIE INDEMNITY CO
ERIE
0001426584
Ingram Robert C III
100 ERIE INSURANCE PLACE
ERIE
PA
16530
1
Executive VP & CIO
Class A Common Stock
2017-06-29
4
A
0
6404
126.21
A
14504
D
Chandra M. Burns, Power of Attorney
2017-06-30
EX-24
2
doc1.txt
POWER OF ATTORNEY (PUBLIC): ROBERTCINGRAMIIIPOA
LIMITED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS THAT I, Robert C. Ingram, III, hereby make,
constitute and appoint CHANDRA M. BURNS, of ERIE INDEMNITY COMPANY, 100 Erie
Insurance Place, Erie, Pennsylvania 16530, my agent, with full power and
authority and in my name and stead to act for me in all matters concerning
the preparation, execution, acknowledgment, delivery and filing of all reports
required to be filed by me under Section 16(a) of the Securities Exchange Act
of 1934, as fully as I could do personally, and in so acting for me in my name
to prepare, execute, acknowledge, deliver and file all papers, forms and
instruments and preform all acts and things necessary or convenient for and
incidental to the exercise of such power and authority. I hereby ratify and
confirm whatsoever my agent shall and may do by virtue hereof.
This Power of Attorney shall continue in force and may be accepted
and relied upon by any one to whom it is presented despite my purported
revocation of it or my death, until actual written notice of such event is
received by such person. In the event of my incapacity, from whatever cause,
this Power of Attorney shall not thereby be revoked and shall not be affected
by my disability or incapacity, and shall be accepted and relied upon by
anyone to whom it is presented despite such incapacity, subject to it becoming
void and of no further effect only upon receipt by such person either of
written notice of the appointment of a guardian of my estate following
adjudication of incapacity, or upon receipt of written notice of my death.
It is intended that this Power of Attorney shall be in all respects
construed according to and governed by the laws of the Commonwealth of
Pennsylvania.
/s/Robert C. Ingram, III