0001127602-21-019683.txt : 20210611
0001127602-21-019683.hdr.sgml : 20210611
20210611114545
ACCESSION NUMBER: 0001127602-21-019683
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210610
FILED AS OF DATE: 20210611
DATE AS OF CHANGE: 20210611
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: 211010404
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
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
2021-06-10
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
14504
D
Incentive Compensation Deferral Plan Share Credits
0
2021-06-10
4
J
0
4516.247
189.83
A
Class A Common Stock
4516.247
15518.567
D
Conversion price is not applicable to shares granted under the Erie Indemnity Company Incentive Compensation Deferral Plan.
Acquired under the Erie Indemnity Company Incentive Compensation Deferral Plan from a Long Term Incentive Plan award.
The shares subject to this reporting are Share Credits which are periodically credited to the accounts of a select group of management and highly compensated employees of Erie Indemnity Company pursuant to its Incentive Compensation Deferral 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 retires or otherwise separates from service with the Company.? There are no exercisable or expiration dates for these securities.
Rebecca A. Buona, Power of Attorney
2021-06-11