SEC Form 4 · accession 0001209191-15-029734
BELK INC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas M Belk Jr.
Officer — Chairman & CEO · Director · 10% Owner
Period of report
Mar 25, 2015
Accepted (ET)
Mar 27, 2015 · 11:12 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001051771
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class B Common StockF13,F14 | Mar 25, 2015 | A | 52,464 | $0.00 | A | 52,464 | D | |
| Class B Common StockF15,F16 | Mar 25, 2015 | F | 12,287 | $56.00 | D | 40,177 | D | |
| Class A Common StockF1 | holding | — | — | — | 622,713 | D | ||
| Class A Common StockF2 | holding | — | — | — | 161,446 | I | Trustee GRAT #1 | |
| Class A Common StockF3 | holding | — | — | — | 153,837 | I | Trustee GRAT #2 | |
| Class A Common StockF4 | holding | — | — | — | 34,951 | I | Spouse | |
| Class A Common StockF5 | holding | — | — | — | 42,033 | I | Custodian | |
| Class A Common StockF6 | holding | — | — | — | 147,402 | I | Trustee | |
| Class A Common StockF7 | holding | — | — | — | 144,441 | I | Trustee | |
| Class A Common StockF8 | holding | — | — | — | 143,390 | I | Trustee | |
| Class A Common StockF9 | holding | — | — | — | 484,684 | I | Trustee | |
| Class A Common StockF10 | holding | — | — | — | 183,825 | I | Trusts, spouse and child are trustees | |
| Class A Common StockF11 | holding | — | — | — | 1,221,842 | I | Brothers Investment Company | |
| Class A Common StockF12 | holding | — | — | — | 444,212 | I | Milburn Investment Company | |
| Class B Common StockF17 | holding | — | — | — | 624 | I | Custodian | |
| Class B Common StockF18 | holding | — | — | — | 1,720 | I | Trustee | |
| Class B Common StockF19 | holding | — | — | — | 4,681 | I | Trustee | |
| Class B Common StockF20 | holding | — | — | — | 5,732 | I | Trustee |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1622,713 shares of Class A common stock are held in Reporting Person's name and/or Thomas M. Belk, Jr., Trustee U/A dated 1/18/94, Reporting Person's grantor trust.
- F1036,765 shares of Class A common stock are held by each of the following trusts: Thomas M. Belk, Jr. & Sarah F. Belk Family Wealth Preservation Trust dated November 28, 2012, f/b/o Adelaide Lucinda Fortune Belk; Thomas M. Belk, Jr. & Sarah F. Belk Family Wealth Preservation Trust dated November 28, 2012, f/b/o Thomas Milburn Belk, III; Thomas M. Belk, Jr. & Sarah F. Belk Family Wealth Preservation Trust dated November 28, 2012, f/b/o Katherine Whitner Belk; Thomas M. Belk, Jr. & Sarah F. Belk Family Wealth Preservation Trust dated November 28, 2012, f/b/o Margaret Elizabeth Belk; and Thomas M. Belk, Jr. & Sarah F. Belk Family Wealth Preservation Trust dated November 28, 2012, f/b/o Louisa Alexandra Belk. Sarah F. Belk, Reporting Person's wife, and the child that is beneficiary of the trust are trustees of each trust.
- F111,221,842 shares of Class A common stock are held by Brothers Investment Company, which corporation is equally owned by John M. Belk QTIP GST Non-Exempt Marital Trust, Wells Fargo Bank, N.A., Susan N. Jamison and Katherine B. Morris, Co-Trustees ("John M. Belk QTIP GST Non-Exempt Marital Trust") and the heirs of Thomas M. Belk. The co-trustees of John M. Belk QTIP GST Non-Exempt Marital Trust and Katherine McKay Belk, Thomas M. Belk, Jr., H.W. McKay Belk, John R. Belk and Katherine Belk Morris, heirs of Thomas M. Belk, share voting and investment power.
- F12444,212 shares of Class A common stock are held by Milburn Investment Company. Voting and investment power is shared by Katherine McKay Belk, Thomas M. Belk, Jr., H.W. McKay Belk, John R. Belk and Katherine Belk Morris.
- F1352,464 shares of Belk, Inc. Class B common stock were received by Reporting Person. 9,213 of those shares were received as the balance of the Belk, Inc. Executive Long Term Incentive Compensation Plan XIV. 43,251 of those shares were received for the Belk, Inc. Executive Long Term Incentive Compensation Plan XV. 21,625 of the shares from the Belk, Inc. Executive Long Term Incentive Compensation Plan XV are not payable to the Reporting Person until 2016.
- F1430,839 shares of Class B common stock are held in Reporting Person's name and/or Thomas M. Belk, Jr., Trustee U/A dated 1/18/94, Reporting Person's grantor trust. 21,625 of the shares from the Belk, Inc. Executive Long Term Incentive Compensation Plan XV are not payable to the Reporting Person until 2016.
- F1512,287 shares of Class B common stock were withheld for taxes from the total shares awarded to Reporting Person from the balance of Belk, Inc. Executive Long Term Incentive Compensation Plan XIV and the first part of Belk, Inc. Executive Long Term Incentive Compensation Plan XV.
- F1618,552 shares of Class B common stock are held in Reporting Person's name and/or Thomas M. Belk, Jr., Trustee U/A dated 1/18/94, Reporting Person's grantor trust. 21,625 of the shares from the Belk, Inc. Executive Long Term Incentive Compensation Plan XV are not payable to the Reporting Person until 2016.
- F17624 shares of Class B common stock are held by Reporting Person as custodian of his minor children.
- F181,720 shares of Class B common stock are held by Adelaide Lucinda Fortune Belk Irrevocable Trust dated August 23, 2010. Voting and investment power is shared by Adelaide Lucinda Fortune Belk, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees.
- F194,681 shares of Class B common stock are held by Thomas M. Belk, III Irrevocable Trust dated 9-7-2010. Voting and investment power is shared by Thomas M. Belk, III, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees.
- F2161,446 shares of Class A common stock are held by Thomas M. Belk, Jr., Grantor Retained Annuity Trust dated January 27, 2006. Reporting Person is the Trustee.
- F205,732 shares of Class B common stock are held by Katherine McKay Belk Irrevocable Trust dated August 29, 2012. Voting and investment power is shared by Katherine McKay Belk, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees.
- F3153,837 shares of Class A common stock are held by Thomas M. Belk, Jr., Grantor Retained Annuity Trust dated 12-17-2010. Reporting Person is the Trustee.
- F434,951 shares of Class A common stock are held by Reporting Person's spouse, Sarah F. Belk and/or her grantor trust, Sarah Fortune Belk Revocable Trust dated 12-11-07.
- F542,033 shares of Class A common stock are held by Reporting Person as custodian of his minor children.
- F6147,402 shares of Class A common stock are held by Adelaide Lucinda Fortune Belk Irrevocable Trust dated August 23, 2010. Voting and investment power is shared by Adelaide Lucinda Fortune Belk, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees.
- F7144,441 shares of Class A common stock are held by Thomas M. Belk, III Irrevocable Trust dated 9-7-2010. Voting and investment power is shared by Thomas M. Belk, III, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees.
- F8143,390 shares of Class A common stock are held by Katherine McKay Belk Irrevocable Trust dated August 29, 2012. Voting and investment power is shared by Katherine McKay Belk, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees.
- F9484,684 shares of Class A common stock are held by Katherine McKay Belk Irrevocable Trust dated November 6, 2000. Voting and investment power is shared by Katherine McKay Belk, Thomas M. Belk, Jr., H.W. McKay Belk, John R. Belk and Katherine Belk Morris.