-----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, Ry9ufjSyut6eyWPFA0gGQlZN5Ezv7LaIhtHyY046bFyKytdlz3prP//UxINJOVn/ KYedFD8spvxRI9uTwLgQog== 0001177103-04-000163.txt : 20040804 0001177103-04-000163.hdr.sgml : 20040804 20040804120416 ACCESSION NUMBER: 0001177103-04-000163 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040802 FILED AS OF DATE: 20040804 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRINLING JEFFREY W CENTRAL INDEX KEY: 0001212659 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 04950637 BUSINESS ADDRESS: STREET 1: C/O ERIE INSURANCE GROUP STREET 2: 100 ERIE INSURANCE PL. CITY: ERIE STATE: PA ZIP: 16530 BUSINESS PHONE: 8148702558 MAIL ADDRESS: STREET 1: C/O ERIE INSURANCE GROUP STREET 2: 100 ERIE INSURANCE PL. CITY: ERIE STATE: PA ZIP: 16530 4 1 bri455.xml X0202 4 2004-08-02 0 0000922621 ERIE INDEMNITY CO ERIE 0001212659 BRINLING JEFFREY W 100 ERIE INSURANCE PLACE ERIE PA 16530 0 1 0 0 Regional Vice President Class A Common Stock 2004-08-02 4 J 0 13.0092 0 A 717.9865 D Participant directed transaction under 401(k) Plan By: Linda A. Etter, Power of Attorney 2004-08-04 -----END PRIVACY-ENHANCED MESSAGE-----