0001127602-17-031156.txt : 20171103 0001127602-17-031156.hdr.sgml : 20171103 20171103123751 ACCESSION NUMBER: 0001127602-17-031156 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171101 FILED AS OF DATE: 20171103 DATE AS OF CHANGE: 20171103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sheffield Martin CENTRAL INDEX KEY: 0001290469 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 171175453 MAIL ADDRESS: STREET 1: 2461 SOUTHMOORE DRIVE CITY: BATH STATE: PA ZIP: 18014 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/A 1 form4a.xml PRIMARY DOCUMENT X0306 4/A 2017-11-01 2017-11-02 0000922621 ERIE INDEMNITY CO ERIE 0001290469 Sheffield Martin 2461 SOUTHMOORE DRIVE BATH PA 18014 1 Class A Common Stock 800 I Martin Sheffield SEP FBO Martin Sheffield Directors' Deferred Compensation Phantom Units 0 2017-11-01 4 J 0 120.598 120.80 A Class A Common Stock 120.598 5782.295 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. Amendment of original Form 4 filed on 11/2/2017 to correct price of derivative security. No other changes have been made. Rebecca A. Buona, Power of Attorney 2017-11-03