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