Filing Details

Accession Number:
0001127602-21-026083
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-09-30 10:54:39
Reporting Period:
2021-09-22
Accepted Time:
2021-09-30 10:54:39
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
922621 Erie Indemnity Co ERIE Insurance Agents, Brokers & Service (6411) 250466020
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1396809 B Thomas Hagen 230 West 6Th Street
Erie PA 16507-1319
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2021-09-22 400 $185.16 5,500 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Class A Common Stock 12,230 Indirect Estate of Susan H. Hagen
Class A Common Stock 10,086,059 Indirect Family L.P.
Class A Common Stock 6,658,800 Indirect Susan Hagen Estate Settlement Trust
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Class A Common Stock Class B Common Stock $0.00 9,600 4 Direct
Class A Common Stock Class B Common Stock $0.00 367,200 153 Indirect
Class A Common Stock Class B Common Stock $0.00 28,800 12 Indirect
Class A Common Stock Directors' Deferred Compensation Share Credits $0.00 12,070 12,070 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
9,600 4 Direct
367,200 153 Indirect
28,800 12 Indirect
12,070 12,070 Direct
Footnotes
  1. These shares were owned by Erie Indemnity Company director and reporting person, Susan Hirt Hagen who died 6/15/15. By operation of law, her 6,658,800 Class A shares and 12 Class B shares held in a revocable trust passed to an irrevocable trust of which this reporting person became co-trustee, sharing voting and investment powers. The 12,230 Class A shares from Mrs. Hagen's Directors' Deferred Compensation Plan account were subsequently transferred by the Company to her estate for which this reporting person is co-executor, sharing voting and investment powers. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or any other purpose.
  2. These shares are held by the Hagen FLP of which the reporting person is a Limited Partner and the General Partner with the sole powers of investment and voting. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or any other purpose.
  3. 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.
  4. Conversion price is not applicable to shares granted under the Outside Directors' Deferred Compensation Plan.
  5. 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.