SEC Form 4 · accession 0001209191-15-082751
BELK INC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Katherine Belk Morris
10% Owner
Period of report
Nov 30, 2015
Accepted (ET)
Dec 2, 2015 · 12:18 pm EST
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 | Nov 30, 2015 | J | 5,998 | $0.00 | A | 629,166 | D | |
| Class A Common StockF10,F11 | Nov 30, 2015 | J | 95,867 | $0.00 | D | 95,867 | I | Trustee |
| Class A Common StockF14,F15 | Nov 30, 2015 | J | 407,923 | $0.00 | A | 810,207 | I | Trustee |
| Class A Common StockF3 | holding | — | — | — | 319,130 | I | Trustee GRAT dtd 9/8/04 | |
| Class A Common StockF4 | holding | — | — | — | 24,281 | I | Trustee GRAT #3 dtd 8/30/10 | |
| Class A Common StockF5 | holding | — | — | — | 26,581 | I | Trustee GRAT #4 dtd 8/30/10 | |
| Class A Common StockF6 | holding | — | — | — | 28,294 | I | Trustee GRAT #5 dtd 8/30/10 | |
| Class A Common StockF7 | holding | — | — | — | 125,144 | I | Trustee GRAT #1 dtd 11/30/11 | |
| Class A Common StockF8 | holding | — | — | — | 28,829 | I | Irrevocable Trust dtd 8/10/04 | |
| Class A Common StockF9 | holding | — | — | — | 36,712 | I | Spouse | |
| Class A Common StockF12 | holding | — | — | — | 188,791 | I | Trustee | |
| Class A Common StockF13 | holding | — | — | — | 193,204 | I | Trustee | |
| Class A Common StockF16 | holding | — | — | — | 256,095 | I | Trusts, spouse and child are trustees | |
| Class A Common StockF17 | holding | — | — | — | 14,250 | I | Trustee, Family Wealth Preservation Trust | |
| Class A Common StockF18 | holding | — | — | — | 444,212 | I | Milburn Investment Company | |
| Class A Common StockF19 | holding | — | — | — | 1,221,842 | I | Brothers Investment Company | |
| Class A Common StockF20 | holding | — | — | — | 228,016 | I | Trustee |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F15,998 shares of Class A common stock were received by Reporting Person as a distribution from Katherine McKay Belk 2012 Grantor Retained Annuity Trust dated July 24, 2012.
- F1095,867 shares of Class A common stock were distributed to Miss Katherine Belk Morris, the Grantor, by the Trustees of Miss Katherine Belk Morris Irrevocable Trust dated January 10, 2003.
- F1195,867 shares of Class A common stock are held by Miss Katherine Belk Morris Irrevocable Trust dated January 10, 2003. Voting and investment power is vested in Miss Katherine Belk Morris, Katherine Belk Morris and Charles Walker Morris, the Trustees.
- F12188,791 shares are Class A common stock are held by Charles Walker Morris, Jr. Irrevocable Trust dated May 25, 2005. Voting and investment power is vested in Charles Walker Morris, Jr., Katherine Belk Morris and Charles Walker Morris, the Trustees.
- F13193,204 shares of Class A common stock are held by Rebecca Price Morris Irrevocable Trust dated January 6, 2009. Voting and investment power is vested in Rebecca Price Morris, Katherine Belk Morris and Charles Walker Morris, the Trustees.
- F14407,923 shares of Class A common stock were received by the Trustees of Katherine McKay Belk Trust dated November 6, 2000, from the Grantor.
- F15810,207 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, the Trustees.
- F1685,365 shares of Class A common stock are held by each of the following trusts: Katherine Belk Morris Family Wealth Preservation Trust dated December 21, 2012, f/b/o Katherine Morris Stanley; Katherine Belk Morris Family Wealth Preservation Trust dated December 21, 2012, f/b/o Charles Walker Morris, Jr.; and Katherine Belk Morris Family Wealth Preservation Trust dated December 21, 2012, f/b/o Rebecca Price Morris. Charles Walker Morris, Reporting Person's husband, and the child that is beneficiary of the trust are trustees of each trust.
- F1714,250 shares of Class A common stock are held by The Katherine McKay Belk FWP Trust f/b/o Katherine Belk Morris Descendants dated June 3, 2015. Reporting Person is the Trustee.
- F18444,212 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.
- F191,221,842 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.
- F2629,166 shares of Class A common stock are held in Reporting Person's name and/or Katherine Whitner McKay Belk Morris, Trustee U/A dated December 28, 1993, Reporting Person's grantor trust.
- F20228,016 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.
- F3319,130 shares of Class A common stock are held by Katherine B. Morris Grantor Retained Annuity Trust dated September 8, 2004. Reporting Person is the Trustee.
- F424,281 shares of Class A common stock are held Katherine Belk Morris 2010 Grantor Retained Annuity Trust Number Three dated August 30, 2010. Reporting Person is the Trustee.
- F526,581 shares of Class A common stock are held Katherine Belk Morris 2010 Grantor Retained Annuity Trust Number Four dated August 30, 2010. Reporting Person is the Trustee.
- F628,294 shares of Class A common stock are held Katherine Belk Morris 2010 Grantor Retained Annuity Trust Number Five dated August 30, 2010. Reporting Person is the Trustee.
- F7125,144 shares of Class A common stock are held by Katherine Belk Morris 2011 Grantor Retained Annuity Trust Number One dated Nov. 30, 2011. Reporting Person is the Trustee.
- F828,829 shares of Class A common stock are held by Katherine W. M. B. Morris Irrevocable Trust dated 8/10/2004. Voting and investment power is held by Charles Walker Morris, spouse, and Lewis S. Morris, III, Co-Trustees.
- F936,712 shares of Class A common stock are held by Reporting Person's spouse, Charles Walker Morris and/or Charles Walker Morris Revocable Trust dated September 8, 2004, his grantor trust.