-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, G3CwWWwBa7Phx7Jw0cTYOO/FtdXTbONJpxN/zztFD7pOo1QZxCV3U2dffe2ISRgx 4wBUu732JWuQ9t1yUxGogw== 0001177103-04-000026.txt : 20040121 0001177103-04-000026.hdr.sgml : 20040121 20040121161805 ACCESSION NUMBER: 0001177103-04-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040120 FILED AS OF DATE: 20040121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HARTZ CHARLES SCOTT CENTRAL INDEX KEY: 0001230669 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 04535360 BUSINESS ADDRESS: STREET 1: 128 TUNBRIDGE RD CITY: HAVERFORD STATE: PA ZIP: 19041 BUSINESS PHONE: 215 500 9800 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 har319.xml X0201 4 2004-01-20 0 0000922621 ERIE INDEMNITY CO ERIE 0001230669 HARTZ CHARLES SCOTT THE HARTZ GROUP TWO BALA PLAZA, SUITE 300 BALA CYNWYD PA 19004 1 0 0 0 Class A Common Stock 2004-01-20 4 J 0 10.164 42.5000 A 2019.3390 D Directors' Deferred Compensation Phantom Units 0.0000 Class A Common Stock 340.6660 340.6660 D Additional shares acquired pursuant to dividend reinvestment in filer's brokerage account. The shares subject to this reporting are phantom Share Credits which are periodically credited to the accounts of certain Directors of Erie Indemnity Company pursuant to its Outside Directors Stock Plan. These Credit Shares are actually paid to the reporting individual in shares of Erie Indemnity Company Class A Common Stock when their service as a Director of Erie Indemnity Company ends. There is no exercisable date for these securities. The shares subject to this reporting are phantom Share Credits which are periodically credited to the accounts of certain Directors of Erie Indemnity Company pursuant to its Outside Directors Stock Plan. These Credit Shares are actually paid to the reporting individual in shares of Erie Indemnity Company Class A Common Stock when their service as a Director of Erie Indemnity Company ends. There is no expiration date for these securities. By: Linda A. Etter, Power of Attorney 2004-01-21 -----END PRIVACY-ENHANCED MESSAGE-----