0001127602-21-010349.txt : 20210312 0001127602-21-010349.hdr.sgml : 20210312 20210312131902 ACCESSION NUMBER: 0001127602-21-010349 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210310 FILED AS OF DATE: 20210312 DATE AS OF CHANGE: 20210312 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Klobnak Jennifer L CENTRAL INDEX KEY: 0001666279 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09463 FILM NUMBER: 21736485 MAIL ADDRESS: STREET 1: 9025 N LINDBERGH DRIVE CITY: PEORIA STATE: IL ZIP: 61615 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: RLI CORP CENTRAL INDEX KEY: 0000084246 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 370889946 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9025 N. LINDBERGH DRIVE CITY: PEORIA STATE: IL ZIP: 61615 BUSINESS PHONE: 3096921000 MAIL ADDRESS: STREET 1: 9025 N. LINDBERGH DRIVE CITY: PEORIA STATE: IL ZIP: 61615 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2021-03-10 0000084246 RLI CORP RLI 0001666279 Klobnak Jennifer L 9025 N. LINDBERGH DRIVE PEORIA IL 61615 1 Sr. VP, Operations - RLI Ins. Common Stock 2021-03-10 4 M 0 15000 47.61 A 32982.165 D Common Stock 2021-03-10 4 F 0 10134 114.04 D 22848.165 D Common Stock 17471.3097 I RLI Corp. Employee Stock Ownership Plan Stock Option 47.61 2021-03-10 4 M 0 15000 0 D 2016-05-07 2023-05-07 Common Stock 15000 0 D Stock Option 93.24 2021-08-21 2028-08-21 Common Stock 20000 20000 D Stock Option 64.09 2017-05-05 2024-05-05 Common Stock 11000 11000 D Stock Option 56.71 2018-05-04 2025-05-04 Common Stock 22000 22000 D Stock Option 63.14 2019-05-03 2026-05-03 Common Stock 20000 20000 D Stock Option 82.66 2020-05-02 2027-05-02 Common Stock 20000 20000 D Balance reflects dividend reinvestment. Balance reflects annual company contributions and dividend reinvestment. Exercise price reflects prior adjustments as a result of special dividends. Pursuant to option schedule wherein 20% of the aggregate number of shares granted may be exercised commencing one year from grant date and each year thereafter in 20% increments. /s/ Jennifer L. Klobnak 2021-03-12