0001127602-23-002938.txt : 20230201 0001127602-23-002938.hdr.sgml : 20230201 20230201171404 ACCESSION NUMBER: 0001127602-23-002938 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230201 DATE AS OF CHANGE: 20230201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davis Seth Anthony CENTRAL INDEX KEY: 0001781698 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09463 FILM NUMBER: 23577828 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 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2022-12-31 0 0 0000084246 RLI CORP RLI 0001781698 Davis Seth Anthony 9025 N. LINDBERGH DRIVE PEORIA IL 61615 1 Vice President, Controller Common Stock 3808.1436 D Common Stock 5030.201 I RLI Corp. Executive Deferred Compensation Plan Common Stock 13998.9421 I RLI Corp. Employee Stock Ownership Plan Stock Option 40.61 2016-05-07 2023-05-07 Common Stock 9000 9000 D Stock Option 57.09 2017-05-05 2024-05-05 Common Stock 6000 6000 D Stock Option 49.71 2018-05-04 2025-05-04 Common Stock 9000 9000 D Stock Option 56.14 2019-05-03 2026-05-03 Common Stock 7000 7000 D Stock Option 75.66 2020-05-02 2027-05-02 Common Stock 6000 6000 D Stock Option 86.24 2021-08-21 2028-08-21 Common Stock 5000 5000 D Stock Option 106.02 2022-05-06 2029-05-06 Common Stock 4000 4000 D Restricted Stock Unit Common Stock 150 150 D Restricted Stock Unit Common Stock 150 150 D Stock Option 109.60 2023-05-05 2030-05-05 Common Stock 4000 4000 D Restricted Stock Unit Common Stock 200 200 D Ownership reflects dividend reinvestment Balance reflects annual company contributions and dividend reinvestment. Exercise price reflects prior adjustments as a result of special dividends. Stock option grant price adjusted to reflect $7.00 extraordinary dividend declared 11-10-2022. 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. Upon vesting, each restricted stock unit represents the right to receive one share of common stock. These restricted stock units are scheduled to vest 100% on the third anniversary of the date of grant. These restricted stock units are scheduled to vest 100% on the third anniversary of the date of grant. /s/ Seth Anthony Davis 2023-02-01