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4//SEC Filing

BLACK SAMUEL P III 4

Accession 0001177103-04-000095

CIK 0000922621other
View on SEC.govCompany Profile

Filed

Apr 27, 8:00 PM ET

Accepted

Apr 28, 1:12 PM ET

Size

13.0 KB

Accession

0001177103-04-000095

Insider Transaction Report

Form 4
Period: 2004-04-27
ERIE INDEMNITY COERIE
BLACK SAMUEL P III
10% Owner
Transactions
  • Other

    Directors' Deferred Compensation Phantom Units

    2004-04-27+167.248→ 1,266.076 total
    Exercise: $0.00→ Class A Common Stock (167.248 underlying)
Holdings

  • Class A Common Stock

    (indirect: Samuel P. Black & Associates, Inc.)
    24,000

  • Class B Common Stock

    (indirect: Estate of Samuel P. Black, Jr.)
    Exercise: $0.00→ Class A Common Stock (24,000 underlying)
    10

  • Class B Common Stock

    Exercise: $0.00→ Class A Common Stock (24,000 underlying)
    10

  • Class A Common Stock

    (indirect: By Partnership)
    5,709,240

  • Class B Common Stock

    (indirect: By Partnership)
    Exercise: $0.00→ Class A Common Stock (936,000 underlying)
    390

  • Class A Common Stock

    129,750
Footnotes (4)
  • [F1]Acquired under 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

1 file

Issuer

ERIE INDEMNITY CO

CIK 0000922621

→
Entity typeother

Related Parties

1
  • filerCIK 0001177252

Filing Metadata

Form type
4
Filed
Apr 27, 8:00 PM ET
Accepted
Apr 28, 1:12 PM ET
Size
13.0 KB
View on SEC.gov