0001127602-23-026137.txt : 20231023 0001127602-23-026137.hdr.sgml : 20231023 20231023142418 ACCESSION NUMBER: 0001127602-23-026137 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231020 FILED AS OF DATE: 20231023 DATE AS OF CHANGE: 20231023 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CONNELL EUGENE C CENTRAL INDEX KEY: 0001177112 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 231339741 MAIL ADDRESS: STREET 1: 785 HUNTINGTON DRIVE CITY: ERIE STATE: PA ZIP: 16505 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 X0508 4 2023-10-20 0000922621 ERIE INDEMNITY CO ERIE 0001177112 CONNELL EUGENE C 785 HUNTINGTON DRIVE ERIE PA 16505 1 0 Class A Common Stock 17433.246 D Class A Common Stock 2462.602 I By Children Directors' Deferred Compensation Share Credits 0 2023-10-20 4 J 0 11.512 299.89 A Class A Common Stock 11.512 2689.277 D Shares held by Reporting Person's children living in his household. The Reporting Person disclaims beneficial ownership of these reported securities, therefore this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for the purposes of Section 16 or for any other purpose. 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 2023-10-23