0001415889-24-002484.txt : 20240205 0001415889-24-002484.hdr.sgml : 20240205 20240205160100 ACCESSION NUMBER: 0001415889-24-002484 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231231 FILED AS OF DATE: 20240205 DATE AS OF CHANGE: 20240205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Klobnak Jennifer L CENTRAL INDEX KEY: 0001666279 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09463 FILM NUMBER: 24595627 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] ORGANIZATION NAME: 02 Finance 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 form5-02052024_090253.xml X0508 5 2023-12-31 0 0 0000084246 RLI CORP RLI 0001666279 Klobnak Jennifer L 9025 N. LINDBERGH DRIVE PEORIA IL 61615 false true false false CHIEF OPERATING OFFICER 0 Common Stock 33237.165 D Common Stock 19980.2870 I RLI Corp. Employee Stock Ownership Plan Stock Option 56.14 2019-05-03 2026-05-03 Common Stock 20000 20000 D Stock Option 75.66 2020-05-02 2027-05-02 Common Stock 20000 20000 D Stock Option 86.24 2021-08-21 2028-08-21 Common Stock 20000 20000 D Stock Option 106.02 2022-05-06 2029-05-06 Common Stock 14000 14000 D Stock Option 109.60 2023-05-05 2030-05-05 Common Stock 43000 43000 D Stock Option 136.59 2024-05-04 2031-05-04 Common Stock 4000 4000 D Stock Option 134.41 2024-08-01 2023-08-01 Common Stock 4000 4000 D Stock Option 135.22 2024-11-01 2031-11-01 Common Stock 4000 4000 D Balance reflects dividend reinvestment. Balance reflects annual company contributions and dividend reinvestment. 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. /s/ Jennifer L. Klobnak 2024-02-05