0001127602-18-024362.txt : 20180802 0001127602-18-024362.hdr.sgml : 20180802 20180802123852 ACCESSION NUMBER: 0001127602-18-024362 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180801 FILED AS OF DATE: 20180802 DATE AS OF CHANGE: 20180802 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LILLY CLAUDE C III CENTRAL INDEX KEY: 0001177125 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 18987382 MAIL ADDRESS: STREET 1: 11810 BIG CANOE STREET 2: 575 RED FOX DRIVE CITY: BIG CANOE STATE: 2Q ZIP: 30143 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 2018-08-01 0000922621 ERIE INDEMNITY CO ERIE 0001177125 LILLY CLAUDE C III 3290 SALINGER WAY TALLAHASSEE FL 32311 1 Class A Common Stock 691.0185 I By IRA For Self Directors' Deferred Compensation Share Credits 0 2018-08-01 4 J 0 126.273 124.24 A Class A Common Stock 126.273 15223.945 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 Share Credits which are periodically credited to the accounts of certain Directors of Erie Indemnity Company pursuant to its Outside Directors' Stock Plan. These Share Credits represent the right to receive an equivalent number of shares of Erie Indemnity Company Class A common stock when the reporting individual's service as a Director of the Company ends. There are no exercisable or expiration dates for these securities. Rebecca A. Buona, Power of Attorney 2018-08-02