4//SEC Filing
BLACK SAMUEL P III 4
Accession 0001177103-04-000081
CIK 0000922621other
Filed
Apr 21, 8:00 PM ET
Accepted
Apr 22, 12:09 PM ET
Size
13.0 KB
Accession
0001177103-04-000081
Insider Transaction Report
Form 4
BLACK SAMUEL P III
10% Owner
Transactions
- Other
Directors' Deferred Compensation Phantom Units
2004-04-21+5.571→ 1,098.828 totalExercise: $0.00→ Class A Common Stock (5.571 underlying)
Holdings
- 5,709,240(indirect: By Partnership)
Class A Common Stock
- 129,750
Class A Common Stock
- 390(indirect: By Partnership)
Class B Common Stock
Exercise: $0.00→ Class A Common Stock (936,000 underlying) - 24,000(indirect: Samuel P. Black & Associates, Inc.)
Class A Common Stock
- 10
Class B Common Stock
Exercise: $0.00→ Class A Common Stock (24,000 underlying) - 10(indirect: Estate of Samuel P. Black, Jr.)
Class B Common Stock
Exercise: $0.00→ Class A Common Stock (24,000 underlying)
Footnotes (4)
- [F1]Acquired under dividend reinvestment for Directors' Deferred Compensation Plan
- [F2]The shares subject to this reporting are phantom Share Credits which are periodically credited to the accounts of certain Directors of Erie Indemnity Company pursuant to its Outside Directors Stock Plan. These Credit Shares are actually paid to the reporting individual in shares of Erie Indemnity Company Class A Common Stock when their service as a Director of Erie Indemnity Company ends. There is no exercisable date for these securities.
- [F3]The shares subject to this reporting are phantom Share Credits which are periodically credited to the accounts of certain Directors of Erie Indemnity Company pursuant to its Outside Directors Stock Plan. These Credit Shares are actually paid to the reporting individual in shares of Erie Indemnity Company Class A Common Stock when their service as a Director of Erie Indemnity Company ends. There is no expiration date for these securities.
- [F4]Market value at the date of conversion at the rate of 2,400 shares of Class A for each share of Class B.
Documents
Issuer
ERIE INDEMNITY CO
CIK 0000922621
Entity typeother
Related Parties
1- filerCIK 0001177252
Filing Metadata
- Form type
- 4
- Filed
- Apr 21, 8:00 PM ET
- Accepted
- Apr 22, 12:09 PM ET
- Size
- 13.0 KB