0001127602-21-003142.txt : 20210201 0001127602-21-003142.hdr.sgml : 20210201 20210201112026 ACCESSION NUMBER: 0001127602-21-003142 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210131 FILED AS OF DATE: 20210201 DATE AS OF CHANGE: 20210201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Vorsheck Elizabeth A CENTRAL INDEX KEY: 0001396850 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 21575423 MAIL ADDRESS: STREET 1: 6252 COMMERCIAL WAY PMB 140 CITY: BROOKSVILLE STATE: FL ZIP: 34613 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 2021-01-31 0000922621 ERIE INDEMNITY CO ERIE 0001396850 Vorsheck Elizabeth A 6252 COMMERCIAL WAY PMB 140 BROOKSVILLE FL 34613 1 1 Class A Common Stock 69716 D Class A Common Stock 324300 I By Audrey C. Hirt 1989/1990 Income Trust For E. Vorsheck Class A Common Stock 193679 I By Elizabeth Vorsheck Trustee Elizabeth Vorsheck Revocable Trust U/A DTD 05/03/99 Class A Common Stock 372565 I By Frank William Hirt 1989/1990 Trust For E. Vorsheck Class A Common Stock 686 I Elizabeth Vorsheck Trustee for the Elizabeth Vorsheck Revocable Trust 5/3/99 Class A Common Stock 3000000 I VEIC Limited Partnership Directors' Deferred Compensation Share Credits 0 2021-01-31 4 A 0 91.595 0 A Class A Common Stock 91.595 11783.677 D Class B Common Stock 0 Class A Common Stock 2808000 1170 I Contingent Beneficiary & Co-Trustee, Trust Class B Common Stock 0 Class A Common Stock 1404000 585 I Contingent Beneficiary & Co-Trustee, Trust Class B Common Stock 0 Class A Common Stock 1404000 585 I Primary Beneficiary & Co-Trustee, Trust Conversion price is not applicable to shares granted under the Erie Indemnity Company Deferred Compensation Plan for Outside Directors (the "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. Pursuant to the Articles of Incorporation of the Company, as amended, shares of Class B Common Stock (voting) of Erie Indemnity Company are convertible at any time to shares of Class A Common Stock (non-voting) at a conversion rate of 2,400 shares of Class A Stock for each share of Class B Stock. There are no exercise or expiration dates associated with this conversion feature and no specific exercise price when a Class B share is converted into Class A shares. Rebecca A. Buona, Power of Attorney 2021-02-01