-----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, G1jOq1tHK9prv597sS6FXEDE30pSNDvzw7guElNIJgJ+6op8xaRC1n9a6T5SUig2 8zEU4W5OUGk8ymnZFXzcdA== 0001225208-09-002589.txt : 20090203 0001225208-09-002589.hdr.sgml : 20090203 20090203101120 ACCESSION NUMBER: 0001225208-09-002589 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090202 FILED AS OF DATE: 20090203 DATE AS OF CHANGE: 20090203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LILLY CLAUDE C III CENTRAL INDEX KEY: 0001177125 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 09563335 BUSINESS ADDRESS: BUSINESS PHONE: (864) 643-9895 MAIL ADDRESS: STREET 1: CLEMSON UNIVERSITY STREET 2: 165 SIRRINE HALL, BOX 341301 CITY: CLEMSON STATE: SC ZIP: 29634-1301 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 doc4.xml X0303 4 2009-02-02 0000922621 ERIE INDEMNITY CO ERIE 0001177125 LILLY CLAUDE C III CLEMSON UNIVERSITY 165 SIRRINE HALL, BOX 341301 CLEMSON SC 29634-1301 1 Class A Common Stock 900 D Directors' Deferred Compensation Phantom Units 0 2009-02-02 4 J 0 186.1505 35.45 A Class A Common Stock 186.1505 5007.9216 D Conversion price is not applicable to shares granted under the Outside Directors' Deferred Compensation Plan. Acquired under 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. Linda A. Etter, Power of Attorney 2009-02-03 -----END PRIVACY-ENHANCED MESSAGE-----