0001127602-23-013410.txt : 20230424 0001127602-23-013410.hdr.sgml : 20230424 20230424095542 ACCESSION NUMBER: 0001127602-23-013410 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230420 FILED AS OF DATE: 20230424 DATE AS OF CHANGE: 20230424 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Palmer Thomas W CENTRAL INDEX KEY: 0001362753 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 23838231 MAIL ADDRESS: STREET 1: MARSHALL & MELHORN STREET 2: FOUR SEAGATE, 8TH FLOOR CITY: TOLEDO STATE: OH ZIP: 43604 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 X0407 4 2023-04-20 0000922621 ERIE INDEMNITY CO ERIE 0001362753 Palmer Thomas W MARSHALL & MELHORN FOUR SEAGATE, 8TH FLOOR TOLEDO OH 43604 1 0 Class A Common Stock 770 I By Thomas W. Palmer Revocable Trust Directors' Deferred Compensation Share Credits 0 2023-04-20 4 J 0 73.412 231.49 A Class A Common Stock 73.412 14257.4 D Conversion price is not applicable to shares granted under the Outside Directors' Deferred Compensation Plan. Acquired under dividend reinvestment for 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 2023-04-24