SEC Form 4 · accession 0001209191-15-069303
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
Sep 1, 2015
Accepted (ET)
Sep 3, 2015 · 10:07 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 StockF5,F6 | Sep 1, 2015 | J | 17,520 | $0.00 | D | 8,933 | I | Custodian |
| Class A Common StockF10,F11 | Sep 1, 2015 | J | 97,130 | $0.00 | A | 97,130 | I | Trustee |
| Class A Common StockF1 | holding | — | — | — | 214,088 | 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 StockF7 | holding | — | — | — | 97,130 | I | Trustee | |
| Class A Common StockF8 | holding | — | — | — | 97,130 | I | Trustee | |
| Class A Common StockF9 | holding | — | — | — | 97,130 | I | Trustee | |
| Class A Common StockF12 | holding | — | — | — | 402,284 | I | Trustee | |
| Class A Common StockF13 | holding | — | — | — | 149,527 | I | Tres Casas Lodging, LLC | |
| Class A Common StockF14 | holding | — | — | — | 23,750 | I | Trustee, Family Wealth Preservation Trust | |
| Class A Common StockF15 | holding | — | — | — | 1,221,842 | I | Brothers Investment Company | |
| Class A Common StockF16 | holding | — | — | — | 444,212 | I | Milburn Investment Company | |
| Class A Common StockF17 | holding | — | — | — | 228,016 | I | Trustee | |
| Class B Common StockF18 | holding | — | — | — | 5,412 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1214,088 shares of Class A common stock are held in Reporting Person's name and/or Reporting Person's grantor trust.
- F1097,130 shares of Class A common stock were received by the Trustees of the Reporting Person's child's trust. Voting and investment power is shared by the Trustees.
- F1197,130 shares of Class A common stock are held by Reporting Person's child's trust. Voting and investment power is shared by the Trustees.
- F12402,284 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.
- F13149,527 shares of Class A common stock are held by Tres Casas Lodging, LLC. The members share voting and investment power.
- F1423,750 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.
- F151,221,842 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.
- F16444,212 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.
- F17228,016 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.
- F185,412 shares of Class B common stock are held in Reporting Person's name and/or Reporting Person's grantor trust.
- F2144,587 shares of Class A common stock are held in a Grantor Retained Annuity Trust dated June 16, 2006. Reporting Person is the Trustee.
- F375,232 shares of Class A common stock are held in a 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.
- F517,520 shares of Class A common stock were transferred to a child who turned 21. Reporting Person held the stock as custodian.
- F68,933 shares of Class A common stock are held by Reporting Person as custodian of his minor child.
- F797,130 shares of Class A common stock are held by Reporting Person's child's trust. Voting and investment power is shared by the Trustees.
- F897,130 shares of Class A common stock are held by Reporting Person's child's trust. Voting and investment power is shared by the Trustees.
- F997,130 shares of Class A common stock are held by Reporting Person's child's trust. Voting and investment power is shared by the Trustees.