SEC Form 4 · accession 0001209191-15-048944
BELK INC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Claudia W Belk
10% Owner
Period of report
May 29, 2015
Accepted (ET)
Jun 2, 2015 · 4:20 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 StockF3,F4 | May 29, 2015 | J | 713,328 | $0.00 | D | 618,433 | I | QTIP GST Non-Exempt Marital Trust |
| Class A Common StockF5,F6 | May 29, 2015 | G | 46,429 | $0.00 | A | 46,429 | I | 2015 GST Exempt Family Wealth Preservation Trust |
| Class A Common StockF7,F8 | May 29, 2015 | P | 417,857 | $56.00 | A | 464,286 | I | 2015 GST Exempt Family Wealth Preservation Trust |
| Class A Common StockF9,F10 | May 29, 2015 | P | 247,792 | $56.00 | A | 247,792 | I | 2015 GST Non Exempt Family Wealth Preservation Trust |
| Class A Common StockF13,F14 | May 29, 2015 | J | 713,328 | $0.00 | A | 713,336 | D | |
| Class A Common StockF5,F15,F16 | May 29, 2015 | G | 47,679 | $0.00 | D | 665,657 | D | |
| Class A Common StockF17,F18,F19 | May 29, 2015 | S | 665,649 | $56.00 | D | 8 | D | |
| Class A Common StockF1 | holding | — | — | — | 614,582 | I | Trust (1976) | |
| Class A Common StockF2 | holding | — | — | — | 21,519 | I | QTIP GST Exempt Marital Trust | |
| Class A Common StockF11 | holding | — | — | — | 1,221,842 | I | Brothers Investment Company | |
| Class A Common StockF12 | holding | — | — | — | 2,079,910 | I | Montgomery Investment Company |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1614,582 shares of Class A common stock are held by Bessemer Trust Company, N.A., Susan N Jamison and Katherine Belk Morris, Co-Trustees U/A dated 12/29/76 with John M. Belk f/b/o Claudia W. Belk. Voting and investment power is vested in Wells Fargo Bank, N.A., the trustee.
- F10247,792 shares of Class A common stock are held by Claudia Watkins Belk 2015 GST Non Exempt Family Wealth Preservation Trust dated May 27, 2015. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees. The Co-Trustees share voting and investment power.
- 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 Bessemer Trust Company, 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.
- F122,079,910 shares of Class A common stock are held by Montgomery Investment Company, a corporation owned by John M. Belk QTIP GST Non-Exempt Marital Trust Bessemer Trust Company, N.A, Susan N. Jamison and Katherine B. Morris, Co-Trustees ("John M. Belk QTIP GST Non-Exempt Marital Trust") as the majority shareholder and Mary Claudia Belk Irrevocable Trust dated 1/4/94. The co-trustees of John M. Belk QTIP GST Non-Exempt Marital Trust and Claudia W. Belk, trustee of Mary Cladia Belk Irrevocable dated 1/4/94, share voting and investment power.
- F13713,328 shares of Class A common stock were received by Reporting Person from the John M. Belk QTIP GST Non-Exempt Marital Trust Bessemer Trust Company, N.A., Susan N. Jamison and Katherine B. Morris, Co-Trustees.
- F14713,336 shares of Class A common stock are held in Reporting Person's name and/or Claudia Watkins Belk Grantor Trust dated 2/23/96. Reporting person is the Trustee.
- F151,250 shares of Class A common stock were gifted by Reporting Person to her daughter, son-in-law and grandchildren.
- F16665,657 shares of Class A common stock are held in Reporting Person's name and/or Claudia Watkins Belk Grantor Trust dated 2/23/96. Reporting person is the Trustee.
- F17417,857 shares of Class A common stock were sold by the Reporting Person to the Claudia Watkins Belk 2015 GST Exempt Family Wealth Preservation Trust dated May 27, 2015 at $56.00 per share.
- F18247,792 shares of Class A common stock were sold by the Reporting Person to the Claudia Watkins Belk 2015 GST Non Exempt Family Wealth Preservation Trust dated May 27, 2015 at $56.00 per share.
- F198 shares of Class A common stock are held in Reporting Person's name and/or Claudia Watkins Belk Grantor Trust dated 2/23/96. Reporting person is the Trustee.
- F221,519 shares of Class A common stock are held by John M. Belk QTIP GST Exempt Marital Trust Bessemer Trust Company, N.A., Susan N. Jamison and Katherine B. Morris, Co-Trustees. The Co-Trustees share voting and investment power.
- F3713,328 shares of Class A common stock were distributed by the John M. Belk QTIP GST Non-Exempt Marital Trust Bessemer Trust Company, N.A., Susan N. Jamison and Katherine B. Morris, Co-Trustees to the Reporting Person.
- F4618,433 shares of Class A common stock are held by John M. Belk QTIP GST Non-Exempt Marital Trust Bessemer Trust Company, N.A., Susan N. Jamison and Katherine B. Morris, Co-Trustees. The Co-Trustees share voting and investment power.
- F546,429 shares of Class A common stock were gifted by Reporting Person to the Claudia Watkins Belk 2015 GST Exempt Family Wealth Preservation Trust dated May 27, 2015. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees.
- F646,429 shares of Class A common stock are held by Claudia Watkins Belk 2015 GST Exempt Family Wealth Preservation Trust dated May 27, 2015. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees. The Co-Trustees share voting and investment power.
- F7417,857 shares of Class A common stock were purchased by Claudia Watkins Belk 2015 GST Exempt Family Wealth Preservation Trust dated May 27, 2015 from the Reporting Person at $56.00 per share. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees.
- F8464,286 shares of Class A common stock are held by Claudia Watkins Belk 2015 GST Exempt Family Wealth Preservation Trust dated May 27, 2015. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees. The Co-Trustees share voting and investment power.
- F9247,792 shares of Class A common stock were purchased by Claudia Watkins Belk 2015 GST Non Exempt Family Wealth Preservation Trust dated May 27, 2015 from the Reporting Person at $56.00 per share. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees.