SEC Form 4/A · accession 0001209191-15-061045
BELK INC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Katherine McKay Belk
10% Owner
Period of report
Jun 24, 2015
Accepted (ET)
Jul 16, 2015 · 10:29 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 A Common StockF1,F2,F3,F4,F5 | Jun 24, 2015 | G | 7,200 | $0.00 | D | 1,179,728 | D | |
| Class A Common StockF6,F7,F8,F9,F10 | Jun 24, 2015 | S$0 | 68,800 | $0.00 | D | 1,110,928 | D | |
| Class A Common StockF11 | holding | — | — | — | 307,330 | I | Trustee, Charitable Remainder Unitrust | |
| Class A Common StockF12 | holding | — | — | — | 46,801 | I | Trustee, 2012 GRAT | |
| Class A Common StockF13 | holding | — | — | — | 109,874 | I | Trustee, 2013 GRAT | |
| Class A Common StockF14 | holding | — | — | — | 223,002 | I | Trustee, 2014 GRAT | |
| Class A Common StockF15 | holding | — | — | — | 120,800 | I | Trustee, 2015 GRAT | |
| Class A Common StockF16 | holding | — | — | — | 277,131 | I | Custodian | |
| Class A Common StockF17 | holding | — | — | — | 100 | I | Spouse (deceased) | |
| Class A Common StockF18 | holding | — | — | — | 1,221,842 | I | Brothers Investment Company | |
| Class A Common Stock | holding | — | — | — | 444,212 | I | Milburn Investment Company | |
| Class B Common Stock | holding | — | — | — | 24,725 | I | Custodian |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F11,350 shares of Class A common stock were gifted to The Katherine McKay Belk FWP Trust f/b/o Katherine Belk Morris Descendants dated June 3, 2015.
- F101,110,928 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.
- F11307,330 shares of Class A common stock are held by Katherine McKay Belk Cook Charitable Remainder Unitrust. Reporting Person is the Trustee.
- F1246,801 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.
- F13109,874 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.
- F14223,002 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.
- F15120,800 shares of Class A common stock are held by Katherine McKay Belk 2015 Grantor Retained Annuity Trust dated June 3, 2015. Reporting Person is the Trustee.
- F161,221,842 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.
- F17444,212 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.
- F1824,725 shares of Class B common stock are held by Reporting Person as custodian of her minor grandchildren.
- F22,250 shares of Class A common stock were gifted to The Katherine McKay Belk FWP Trust f/b/o Thomas M. Belk, Jr. Descendants dated June 3, 2015.
- F32,250 shares of Class A common stock were gifted to The Katherine McKay Belk FWP Trust f/b/o H.W. McKay Belk Descendants dated June 3, 2015.
- F41,350 shares of Class A common stock were gifted to The Katherine McKay Belk FWP Trust f/b/o John R. Belk Descendants dated June 3, 2015.
- F51,179,728 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.
- F612,900 shares of Class A common stock were sold to The Katherine McKay Belk FWP Trust f/b/o Katherine Belk Morris Descendants dated June 3, 2015.
- F721,500 shares of Class A common stock were sold to The Katherine McKay Belk FWP Trust f/b/o Thomas M. Belk, Jr. Descendants dated June 3, 2015.
- F821,500 shares of Class A common stock were sold to The Katherine McKay Belk FWP Trust f/b/o H.W. McKay Belk Descendants dated June 3, 2015.
- F912,900 shares of Class A common stock were sold to The Katherine McKay Belk FWP Trust f/b/o John R. Belk Descendants dated June 3, 2015.