SEC Form 4 · accession 0001209191-15-029740
BELK INC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Rodney F Samples
Officer — Controller
Period of report
Mar 25, 2015
Accepted (ET)
Mar 27, 2015 · 11:41 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 StockF1,F2 | Mar 25, 2015 | A | 1,104 | $0.00 | A | 1,656 | D | |
| Class B Common StockF3,F4 | Mar 25, 2015 | F | 249 | $56.00 | D | 1,407 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F11,104 shares of Belk, Inc. Class B common stock were received by Reporting Person. 189 of those shares were received as the balance of the Belk, Inc. Executive Long Term Incentive Compensation Plan XIV. 915 of those shares were received for the Belk, Inc. Executive Long Term Incentive Compensation Plan XV. 457 of the shares from the Belk, Inc. Executive Long Term Incentive Compensation Plan XV are not payable to the Reporting Person until 2016.
- F21,199 shares of Class B common stock are held in Reporting Person's name. 457 of the shares from the Belk, Inc. Executive Long Term Incentive Compensation Plan XV are not payable to the Reporting Person until 2016.
- F3249 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.
- F4950 shares of Class B common stock are held in Reporting Person's name. 457 of the shares from the Belk, Inc. Executive Long Term Incentive Compensation Plan XV are not payable to the Reporting Person until 2016.