-----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, JA6w67jIFnnH+nQL1xctcwbVvU4sXfqJLvrl+OJhQZjvB6Qx0wXg7FPYlODEsYVX qYvYew2LN6F7heT9ee09ew== 0001177103-06-000186.txt : 20060811 0001177103-06-000186.hdr.sgml : 20060811 20060811151205 ACCESSION NUMBER: 0001177103-06-000186 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060810 FILED AS OF DATE: 20060811 DATE AS OF CHANGE: 20060811 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HIRT F WILLIAM CENTRAL INDEX KEY: 0001177123 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 061024636 BUSINESS ADDRESS: BUSINESS PHONE: (814) 833-1712 MAIL ADDRESS: STREET 1: 3270 KINGSTON COURT CITY: ERIE STATE: PA ZIP: 16506 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 hir1003.xml X0202 4 2006-08-10 0 0000922621 ERIE INDEMNITY CO ERIE 0001177123 HIRT F WILLIAM 3270 KINGSTON COURT ERIE PA 16506 1 1 1 0 Chairman of the Board Class A Common Stock 2006-08-10 5 G 0 25767 0 D 1868084.0000 D Class B Common Stock 0.0000 Class A Common Stock 48000.0000 20.0000 D Class B Common Stock 0.0000 Class A Common Stock 2808000.0000 1170.0000 I Beneficiary & Trustee, Trust Class B Common Stock 0.0000 Class A Common Stock 2808000.0000 1170.0000 I Beneficiary & Trustee, Trust- Directors' Deferred Compensation Phantom Units 0.0000 Class A Common Stock 2792.2703 2792.2703 D Each share of Class B Common Stock is convertible at any time into 2,400 shares of Class A Common Stock. There are no exercise or expiration dates associated with this conversion feature and no specific exercise price when a Class B share is converted into Class A shares. Pursuant to the Articles of Incorporation of the Company, as amended, shares of Class B Common Stock (voting) of Erie Indemnity Company are convertible at any time to shares of Class A Common Stock (non-voting) at a conversion rate of 2,400 shares of Class A Stock for each share of Class B Stock. Conversion price is not applicable to shares granted under the Outside Directors' Deferred Compensation Plan. 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 2006-08-11 -----END PRIVACY-ENHANCED MESSAGE-----