-----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, I6OEPlEKGeN5VHfNHHpwLEwYz0sOe8ry4H3MBhcuwD1aFsPPaEoY+5RNryGsDcjt OBUj99Pz/b/59wivlWzTyA== 0001225208-09-010614.txt : 20090423 0001225208-09-010614.hdr.sgml : 20090423 20090423141817 ACCESSION NUMBER: 0001225208-09-010614 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090421 FILED AS OF DATE: 20090423 DATE AS OF CHANGE: 20090423 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Vorsheck Elizabeth A CENTRAL INDEX KEY: 0001396850 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 09766145 MAIL ADDRESS: STREET 1: 6252 COMMERCIAL WAY PMB 140 CITY: BROOKSVILLE STATE: FL ZIP: 34613 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 2009-04-21 0000922621 ERIE INDEMNITY CO ERIE 0001396850 Vorsheck Elizabeth A 6252 COMMERCIAL WAY PMB 140 BROOKSVILLE FL 34613 1 1 Class A Common Stock 135516 D Class A Common Stock 648600 I By Audrey C. Hirt 1989/1990 Income Trust for E. Vorsheck Class A Common Stock 2996534 I By Elizabeth Vorsheck Trustee Elizabeth Vorsheck Revocable Trust U/A DTD 05/03/99 Class A Common Stock 745130 I By Frank William Hirt 1989/1990 Trust for E. Vorsheck Directors' Deferred Compensation Phantom Units 0 2009-04-21 4 J 0 21.687 32.72 A Class A Common Stock 21.687 1412.4425 D Class B Common Stock 0 Class A Common Stock 2808000 1170 I Contingent Beneficiary & Trustee, Trust Class B Common Stock 0 Class A Common Stock 2808000 1170 I Contingent Beneficiary & Trustee,Trust These shares were not included in the reporting person's original Form 3, and also were not included in the Forms 4 and Form 5, subsequently filed by the reporting person. 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 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. 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. 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. Linda A. Etter, Power of Attorney 2009-04-23 -----END PRIVACY-ENHANCED MESSAGE-----