# EDGAR Filing Document

**Accession Number:** 0000084246
**File Stem:** 0001127602-23-002991
**Filing Date:** 2023-2
**Character Count:** 7504
**Document Hash:** 9ab9e0e8128b4c513b733787722852e6
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001127602-23-002991.hdr.sgml**: 20230201

**ACCESSION NUMBER**: 0001127602-23-002991

**CONFORMED SUBMISSION TYPE**: 5

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20221231

**FILED AS OF DATE**: 20230201

**DATE AS OF CHANGE**: 20230201

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** FICK JEFFREY D
- **CENTRAL INDEX KEY:** 0001194572

**FILING VALUES:**
- **FORM TYPE:** 5
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-09463
- **FILM NUMBER:** 23578441

**MAIL ADDRESS:**
- **STREET 1:** 9025 N. LINDBERGH DRIVE
- **STREET 2:** 9025 N. LINDBERGH DRIVE
- **CITY:** PEORIA
- **STATE:** IL
- **ZIP:** 61615
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** RLI CORP
- **CENTRAL INDEX KEY:** 0000084246
- **STANDARD INDUSTRIAL CLASSIFICATION:** FIRE, MARINE & CASUALTY INSURANCE [6331]
- **IRS NUMBER:** 370889946
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 9025 N. LINDBERGH DRIVE
- **CITY:** PEORIA
- **STATE:** IL
- **ZIP:** 61615
- **BUSINESS PHONE:** 3096921000

**MAIL ADDRESS:**
- **STREET 1:** 9025 N. LINDBERGH DRIVE
- **CITY:** PEORIA
- **STATE:** IL
- **ZIP:** 61615

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 5

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>FICK JEFFREY D<br><sub>(Last) (First) (Middle)</sub><br>9025 N. LINDBERGH DRIVE<br><sub>(Street)</sub><br>PEORIA, IL 61615<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2022-12-31 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [ ] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_Chief Legal Officer_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>RLI CORP [ RLI ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock |  |  |  |  |  |  |  | 62316.471 | D<sup>(1)</sup> |  |
| Common Stock |  |  |  |  |  |  |  | 12136.9538 | I | Employee Stock Ownership Plan<sup>(2)</sup> |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Stock Option | 90.64<sup>(3)</sup> |  |  |  |  |  |  | 2022-02-01<sup>(4)</sup> | 2029-02-01 | Common Stock | 4166 |  | 4166 | D |  |
| Stock Option | 97.85<sup>(3)</sup> |  |  |  |  |  |  | 2023-02-01<sup>(4)</sup> | 2030-02-01 | Common Stock | 2000 |  | 2000 | D |  |
| Stock Option | 109.60<sup>(3)</sup> |  |  |  |  |  |  | 2023-05-05<sup>(4)</sup> | 2030-05-05<sup>(4)</sup> | Common Stock | 3750 |  | 3750 | D |  |
| Stock Option | 106.02<sup>(3)</sup> |  |  |  |  |  |  | 2022-05-06<sup>(4)</sup> | 2029-05-06<sup>(4)</sup> | Common Stock | 2000 |  | 2000 | D |  |
| Stock Option | 103.56<sup>(3)</sup> |  |  |  |  |  |  | 2023-08-01 | 2030-08-01 | Common Stock | 3750 |  | 3750 | D |  |
| Stock Option | 101.07<sup>(3)</sup> |  |  |  |  |  |  | 2022-08-02<sup>(4)</sup> | 2029-08-02 | Common Stock | 2000 |  | 2000 | D |  |
| Stock Option | 103.02<sup>(3)</sup> |  |  |  |  |  |  | 2022-11-01<sup>(4)</sup> | 2029-11-01 | Common Stock | 2000 |  | 2000 | D |  |
| Stock Option | 125.98<sup>(3)</sup> |  |  |  |  |  |  | 2023-11-01<sup>(4)</sup> | 2030-11-01 | Common Stock | 3750 |  | 3750 | D |  |
| Stock Option | 82.28<sup>(3)</sup> |  |  |  |  |  |  | 2021-11-02<sup>(4)</sup> | 2028-11-02 | Common Stock | 4167 |  | 4167 | D |  |
| Stock Option | 86.24<sup>(3)</sup> |  |  |  |  |  |  | 2021-08-21 | 2028-08-21 | Common Stock | 4166 |  | 4166 | D |  |
| Stock Option | 56.14<sup>(3)</sup> |  |  |  |  |  |  | 2019-05-03<sup>(4)</sup> | 2026-05-03 | Common Stock | 9000 |  | 9000 | D |  |
| Stock Option | 75.66<sup>(3)</sup> |  |  |  |  |  |  | 2020-05-02<sup>(4)</sup> | 2027-05-02 | Common Stock | 15000 |  | 15000 | D |  |

---

### Footnotes:

(1) Ownership reflects dividend reinvestment

(2) Balance reflects annual company contributions and dividend reinvestment.

(3) Stock option grant price adjusted to reflect $7.00 extraordinary dividend declared 11-10-2022.

(4) Pursuant to option schedule wherein 20% of the aggregate number of shares granted may be exercised commencing one year from grant date and each year thereafter in 20% increments.

**Signature:** /s/ Jeffrey D. Fick  
**Date:** 2023-02-01

### Remarks:

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

**Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.**