SEC Form 4 · accession 0001209191-15-062463
BELK INC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
H W McKay Belk
Director · 10% Owner
Period of report
Jul 16, 2015
Accepted (ET)
Jul 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 A Common StockF9,F10 | Jul 16, 2015 | J | 82,400 | $0.00 | D | 402,284 | I | Trustee |
| Class A Common StockF1 | holding | — | — | — | 228,794 | D | ||
| Class A Common StockF2 | holding | — | — | — | 144,587 | I | Trustee GRAT #1 | |
| Class A Common StockF3 | holding | — | — | — | 75,232 | I | Trustee GRAT #2 | |
| Class A Common StockF4 | holding | — | — | — | 2,798 | I | Spouse | |
| Class A Common StockF5 | holding | — | — | — | 26,453 | I | Custodian | |
| Class A Common StockF6 | holding | — | — | — | 97,130 | I | Trustee | |
| Class A Common StockF7 | holding | — | — | — | 97,130 | I | Trustee | |
| Class A Common StockF8 | holding | — | — | — | 97,130 | I | Trustee | |
| Class A Common StockF11 | holding | — | — | — | 149,527 | I | Tres Casas Lodging, LLC | |
| Class A Common StockF12 | holding | — | — | — | 23,750 | I | Trustee, Family Wealth Preservation Trust | |
| Class A Common StockF13 | holding | — | — | — | 1,221,842 | I | Brothers Investment Company | |
| Class A Common StockF14 | holding | — | — | — | 444,212 | I | Milburn Investment Company | |
| Class A Common StockF15 | holding | — | — | — | 228,016 | I | Trustee | |
| Class B Common StockF16 | holding | — | — | — | 5,412 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1228,794 shares of Class A common stock are held in Reporting Person's name and/or H.W. McKay Belk, Trustee U/A dated 11/21/07, Reporting Person's grantor trust.
- F10402,284 shares of Class A common stock are held by Katherine McKay Belk Irrevocable Trust dated November 6, 2000. 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.
- F11149,527 shares of Class A common stock are held by Tres Casas Lodging, LLC. H.W. McKay Belk, Nina F. Belk, Nina Cabell Belk, Hamilton Witherspoon McKay Belk, Jr., Katherine Whitner Belk, William Daniel Belk and John Wilson Belk, members, share voting and investment power.
- F1223,750 shares of Class A common stock are held by The Katherine McKay Belk FWP Trust f/b/o H.W. McKay Belk Descendants dated June 3, 2015. Reporting Person is the Trustee.
- 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.
- F15228,016 Class A shares held in a trust established by the Will of W.H. Belk for the benefit of Thomas M. Belk. Sarah Belk Gambrell, Katherine Belk Morris, Thomas M. Belk, Jr., H.W. McKay Belk and John R. Belk, the trustees, share voting and investment power.
- F165,412 shares of Class B common stock are held in Reporting Person's name and/or H.W. McKay Belk, Trustee U/A dated 11/21/07, Reporting Person's grantor trust.
- F2144,587 shares of Class A common stock are held by H.W. McKay Belk Grantor Retained Annuity Trust dated June 16, 2006. Reporting Person is the Trustee.
- F375,232 shares of Class A common stock are held by H.W. McKay Belk 2010 Grantor Retained Annuity Trust. Reporting Person is the Trustee.
- F42,798 shares of Class A common stock are held by Reporting Person's spouse, Nina F. Belk.
- F526,453 shares of Class A common stock are held by Reporting Person as custodian of his minor children.
- F697,130 shares of Class A common stock are held by Katherine Whitner Belk Irrevocable Trust dated April 9, 2008. Voting and investment power is shared by Katherine Whitner Belk, Nina Ferguson Belk and H.W. McKay Belk, the Trustees.
- F797,130 shares of Class A common stock are held by Nina Cabell Belk Irrevocable Trust dated April 4, 2008. Voting and investment power is shared by Nina Cabell Belk, Nina Ferguson Belk and H.W. McKay Belk, the Trustees.
- F897,130 shares of Class A common stock are held by The Hamilton Witherspoon McKay Belk, Jr. Irrevocable Trust dated October 22, 2010. Voting and investment power is shared by H.W. McKay Belk, Jr., Nina Ferguson Belk and H.W. McKay Belk, the Trustees.
- F982,400 shares of Class A common stock were distributed to Katherine McKay Belk, the Grantor, by the Trustees of Katherine M. Belk Irrevocable Trust dated November 6, 2000.