SEC Form 5 · accession 0001127602-17-002909
PUBLIX SUPER MARKETS INC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David P Phillips
Officer — Chief Financial Officer
Period of report
Dec 31, 2016
Accepted (ET)
Jan 30, 2017 · 4:53 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 | Apr 22, 2016 | J | 46,791 | $45.20 | D | 42,040 | I | By GRAT |
| Common Stock | Apr 22, 2016 | J | 46,791 | $45.20 | A | 162,878 | D | |
| Common Stock | Apr 22, 2016 | J | 42,040 | $45.20 | D | 0 | I | By GRAT |
| Common Stock | Apr 22, 2016 | J | 42,040 | $45.20 | A | 114,629 | I | By Spouse as Trustee for Irrevocable Trusts |
| Common StockF1 | Dec 12, 2016 | J | 7,000 | $40.15 | D | 0 | I | By Child |
| Common Stock | holding | — | — | — | 7,000 | I | By Custodian For Child | |
| Common Stock | holding | — | — | — | 17,025 | I | By IRA | |
| Common StockF2 | holding | — | — | — | 1,892 | I | By 401(k) | |
| Common StockF3 | holding | — | — | — | 66,561 | I | By ESOP |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SERP StockF4 | — | Mar 1, 2016 | A | 1,518 | A | — | — | Common Stock | 1,518 | 8,946 | I |
Explanation of responses
- 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.