0001127602-16-059183.txt : 20160802 0001127602-16-059183.hdr.sgml : 20160802 20160802125042 ACCESSION NUMBER: 0001127602-16-059183 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160801 FILED AS OF DATE: 20160802 DATE AS OF CHANGE: 20160802 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILBURN ROBERT C CENTRAL INDEX KEY: 0001177129 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 161799711 MAIL ADDRESS: STREET 1: 110 WASHINGTON AVENUE #1711 CITY: MIAMI BEACH STATE: FL ZIP: 33139 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-08-01 0000922621 ERIE INDEMNITY CO ERIE 0001177129 WILBURN ROBERT C 110 WASHINGTON AVE. #1711 MIAMI BEACH FL 33139 1 Class A Common Stock 2700 I IRA for Self Directors' Deferred Compensation Phantom Units 0 2016-08-01 4 J 0 160.222 97.69 A Class A Common Stock 160.222 13345.6671 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. Chandra M. Burns, Power of Attorney 2016-08-02