0001127602-19-016108.txt : 20190424 0001127602-19-016108.hdr.sgml : 20190424 20190424121606 ACCESSION NUMBER: 0001127602-19-016108 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190424 FILED AS OF DATE: 20190424 DATE AS OF CHANGE: 20190424 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BORNEMAN J RALPH JR CENTRAL INDEX KEY: 0001145522 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 19763195 MAIL ADDRESS: STREET 1: NATIONAL PENN BANCSHARES INC STREET 2: PHILADELPHIA & READING AVENUES CITY: BOYERTOWN STATE: PA ZIP: 19512 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 X0306 4 2019-04-24 0000922621 ERIE INDEMNITY CO ERIE 0001145522 BORNEMAN J RALPH JR 17 E. PHILADELPHIA AVENUE PO BOX 584 BOYERTOWN PA 19512 1 Class A Common Stock 40000 I J. Ralph Borneman, Jr. TTEE J. Ralph Borneman, Jr. Revocable Trust DTD 02/16/2015 Directors' Deferred Compensation Share Credits 0 2019-04-24 4 J 0 78.597 181.02 A Class A Common Stock 78.597 15760.917 D Conversion price is not applicable to shares granted under the Outside Directors' Deferred Compensation Plan. Acquired under dividend reinvestment for Directors' Deferred Compensation Plan. The shares subject to this reporting are Share Credits which are periodically credited to the accounts of certain Directors of Erie Indemnity Company pursuant to its Outside Directors' Stock Plan. These Share Credits represent the right to receive an equivalent number of shares of Erie Indemnity Company Class A common stock when the reporting individual's service as a Director of the Company ends. There are no exercisable or expiration dates for these securities. Rebecca A. Buona, Power of Attorney 2019-04-24