SEC Form 4 · accession 0001209191-15-034310
BELK INC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Katherine McKay Belk
10% Owner
Period of report
Apr 13, 2015
Accepted (ET)
Apr 15, 2015 · 4:14 pm 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 A Common StockF1,F2,F3,F4 | Apr 13, 2015 | J | 175,413 | $0.00 | A | 1,106,538 | D | |
| Class A Common StockF1,F5 | Apr 13, 2015 | J | 9,112 | $0.00 | D | 307,330 | I | Trustee, Charitable Remainder Unitrust |
| Class A Common StockF2,F6 | Apr 13, 2015 | J | 76,570 | $0.00 | D | 81,646 | I | Trustee, GRAT #10 |
| Class A Common StockF3,F7 | Apr 13, 2015 | J | 89,731 | $0.00 | D | 46,801 | I | Trustee, 2012 GRAT |
| Class A Common StockF10,F11 | Apr 13, 2015 | J | 96,813 | $0.00 | D | 276,881 | I | Custodian |
| Class B Common StockF15,F16 | Apr 13, 2015 | J | 24,725 | $0.00 | D | 24,725 | I | Custodian |
| Class A Common StockF8 | holding | — | — | — | 198,505 | I | Trustee, 2013 GRAT | |
| Class A Common StockF9 | holding | — | — | — | 311,851 | I | Trustee, 2014 GRAT | |
| Class A Common StockF12 | holding | — | — | — | 100 | I | Spouse (deceased) | |
| Class A Common StockF13 | holding | — | — | — | 1,221,842 | I | Brothers Investment Company | |
| Class A Common StockF14 | holding | — | — | — | 444,212 | I | Milburn Investment Company |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F19,112 shares of Class A common stock were distributed by Katherine McKay Belk Cook Charitable Remainder Unitrust dated 11/1/02 to Reporting Person.
- F1096,813 shares of Class A common stock were transferred to a grandchild who turned 21. Reporting Person held the stock as custodian.
- F11276,881 shares of Class A common stock are held by Reporting Person as custodian of her minor grandchildren.
- F12100 shares of Class A common stock are held in the name of Reporting Person's husband (deceased), James Fielder Cook.
- F131,221,842 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.
- F14444,212 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.
- F1524,725 shares of Class B common stock were transferred to a grandchild who turned 21. Reporting Person held the stock as custodian.
- F1624,725 shares of Class B common stock are held by Reporting Person as custodian of her minor grandchildren.
- F276,570 shares of Class A common stock were distributed by Katherine McKay Belk Grantor Retained Annuity Trust Number Ten dated April 26, 2010 to Reporting Person.
- F389,731 shares of Class A common stock were distributed by Katherine McKay Belk 2012 Grantor Retained Annuity Trust dated July 24, 2012 to Reporting Person.
- F41,106,538 shares of Class A common stock are held in Reporting Person's name and/or Katherine McKay Belk Trust dated November 6, 2000, Reporting Person's grantor trust. Voting and investment power of the grantor trust is shared by Katherine McKay Belk, Thomas M. Belk, Jr., H.W. McKay Belk, John R. Belk and Katherine Belk Morris.
- F5307,330 shares of Class A common stock are held by Katherine McKay Belk Cook Charitable Remainder Unitrust. Reporting Person is the Trustee.
- F681,646 shares of Class A common stock are held by Katherine McKay Belk Grantor Retained Annuity Trust Number Ten dated April 26, 2010. Reporting Person is the Trustee.
- F746,801 shares of Class A common stock are held by Katherine McKay Belk 2012 Grantor Retained Annuity Trust dated July 24, 2012. Reporting Person is the Trustee.
- F8198,505 shares of Class A common stock are held by Katherine McKay Belk 2013 Grantor Retained Annuity Trust dated May 30, 2013. Reporting Person is the Trustee.
- F9311,851 shares of Class A common stock are held by Katherine McKay Belk 2014 Grantor Retained Annuity Trust dated April 23, 2014. Reporting Person is the Trustee.