SEC Form 5 · accession 0001127602-17-002853

PUBLIX SUPER MARKETS INC

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Senior Vice President

Period of report

Dec 31, 2016

Accepted (ET)

Jan 30, 2017 · 4:17 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000081061

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	Nov 30, 2016	J	907	$40.15	D	0	I	By Child
Common Stock	holding	—	—		—	83,912	D
Common Stock^F2	holding	—	—		—	1,892	I	By 401(k)
Common Stock	holding	—	—		—	1,600	I	By Custodian for Child
Common Stock^F3	holding	—	—		—	52,362	I	By ESOP
Common Stock	holding	—	—		—	14,125	I	By Spouse
Common Stock	holding	—	—		—	4,687	I	By Spouse's Trust

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
SERP Stock^F4	—	Mar 1, 2016	A	439	A	—	—	Common Stock	439	2,359	I

F1This reporting person no longer has a reportable beneficial interest in these shares owned by his/her child and included in the reporting person's prior ownership reports.
F2Acquired under the Publix Super Markets, Inc. 401(k) SMART Plan. Transaction exempt under rule 16b-3(c).
F3Acquired under the Publix Super Markets, Inc. Employee Stock Ownership Plan. Transaction exempt under rule 16b-3(c).
F4Each share of SERP stock is the economic equivalent of one share of common stock. The shares of SERP stock become payable in common stock upon the reporting person's termination of employment in accordance with the Publix Super Markets, Inc. Supplemental Executive Retirement Plan.