0001127602-12-011696.txt : 20120323 0001127602-12-011696.hdr.sgml : 20120323 20120323140209 ACCESSION NUMBER: 0001127602-12-011696 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120323 FILED AS OF DATE: 20120323 DATE AS OF CHANGE: 20120323 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Burt Richard F JR CENTRAL INDEX KEY: 0001525780 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 12711423 MAIL ADDRESS: STREET 1: 100 ERIE INSURANCE PLACE CITY: ERIE STATE: PA ZIP: 16530 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 1 form4.xml PRIMARY DOCUMENT X0304 4 2012-03-23 0000922621 ERIE INDEMNITY CO ERIE 0001525780 Burt Richard F JR 100 ERIE INSURANCE PLACE ERIE PA 16530 1 Senior Vice President Class A Common Stock 2012-03-23 4 P 0 250 76.16 A 250 D Linda A. Etter, Power of Attorney 2012-03-23