SEC Form 4 · accession 0001209191-15-058665
BELK INC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Claudia W Belk
10% Owner
Period of report
Jun 30, 2015
Accepted (ET)
Jul 2, 2015 · 2:59 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 | Jun 30, 2015 | J | 178,571 | $0.00 | D | 436,011 | I | Trust (1976) |
| Class A Common StockF7,F8 | Jun 30, 2015 | G | 178,571 | $0.00 | A | 178,571 | I | Charitable Remainder Unitrust |
| Class A Common StockF11,F12 | Jun 30, 2015 | J | 178,571 | $0.00 | A | 178,579 | D | |
| Class A Common StockF13,F14 | Jun 30, 2015 | G | 178,571 | $0.00 | D | 8 | D | |
| Class A Common StockF3 | holding | — | — | — | 21,519 | I | QTIP GST Exempt Marital Trust | |
| Class A Common StockF4 | holding | — | — | — | 618,433 | I | QTIP GST Non-Exempt Marital Trust | |
| Class A Common StockF5 | holding | — | — | — | 464,286 | I | 2015 GST Exempt Family Wealth Preservation Trust | |
| Class A Common StockF6 | holding | — | — | — | 247,792 | I | 2015 GST Non Exempt Family Wealth Preservation Trust | |
| Class A Common StockF9 | holding | — | — | — | 1,221,842 | I | Brothers Investment Company | |
| Class A Common StockF10 | holding | — | — | — | 2,079,910 | I | Montgomery Investment Company |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1178,571 shares of Class A common stock were distributed 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 to the Reporting Person.
- F102,079,910 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.
- F11178,571 shares of Class A common stock were received by Reporting Person from the 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.
- F12178,579 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.
- F13178,571 shares of Class A common stock were gifted by Reporting Person to the Claudia W. Belk Charitable Remainder Unitrust dated June 23, 2015.
- F148 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.
- F2436,011 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. The co-trustees share voting and investment power.
- F321,519 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.
- 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.
- F5464,286 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.
- F6247,792 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.
- F7178,571 shares of Class A common stock were received by the Claudia W. Belk Charitable Remainder Unitrust dated June 23, 2015 as a gift from the Reporting Person.
- F8178,571 shares of Class A common stock are held by the Claudia W. Belk Charitable Remainder Unitrust dated June 23, 2015. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees.
- F91,221,842 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.