0001127602-21-014104.txt : 20210420 0001127602-21-014104.hdr.sgml : 20210420 20210420142507 ACCESSION NUMBER: 0001127602-21-014104 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210419 FILED AS OF DATE: 20210420 DATE AS OF CHANGE: 20210420 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hagen Jonathan Hirt CENTRAL INDEX KEY: 0001324390 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24000 FILM NUMBER: 21837336 MAIL ADDRESS: STREET 1: 19 UNIVERSITY MEWS CITY: PHILADELPHIA STATE: PA ZIP: 19104-4756 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 2021-04-19 0000922621 ERIE INDEMNITY CO ERIE 0001324390 Hagen Jonathan Hirt 19 UNIVERSITY MEWS PHILADELPHIA PA 19104-4756 1 Class A Common Stock 223130 D Class A Common Stock 200 I By Daughter Directors' Deferred Compensation Share Credits 0 2021-04-19 4 J 0 91.598 224.86 A Class A Common Stock 91.598 14174.048 D Class B Common Stock 0 Class A Common Stock 2400 1 D Class B Common Stock 0 Class A Common Stock 1404000 585 I Contingent Beneficiary & Co-Trustee, Trust Class B Common Stock 0 Class A Common Stock 1404000 585 I Contingent Beneficiary & Co-Trustee, Trust Class B Common Stock 0 Class A Common Stock 2808000 1170 I Primary Beneficiary & Co-Trustee, Trust Held by family member. The Reporting Person disclaims beneficial ownership of these reported securities and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for the purposes of Section 16 or for any other purpose. Conversion price is not applicable to shares granted under the Outside Directors' Deferred Compensation Plan. Acquired under 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. Pursuant to the Articles of Incorporation of the Company, as amended, shares of Class B Common Stock (voting) of Erie Indemnity Company are convertible at any time to shares of Class A Common Stock (non-voting) at a conversion rate of 2,400 shares of Class A Stock for each share of Class B Stock. There are no exercise or expiration dates associated with this conversion feature and no specific exercise price when a Class B share is converted into Class A shares. Rebecca A. Buona, Power of Attorney 2021-04-20