0001209191-11-029506.txt : 20110518 0001209191-11-029506.hdr.sgml : 20110518 20110518183352 ACCESSION NUMBER: 0001209191-11-029506 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110517 FILED AS OF DATE: 20110518 DATE AS OF CHANGE: 20110518 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BELK JOHN R CENTRAL INDEX KEY: 0001189863 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26207 FILM NUMBER: 11856002 MAIL ADDRESS: STREET 1: BELK INC STREET 2: 2801 WEST TYVOLA ROAD CITY: CHARLOTTE STATE: NC ZIP: 28217-4500 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BELK INC CENTRAL INDEX KEY: 0001051771 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 562058574 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2801 WEST TYVOLA ROAD CITY: CHARLOTTE STATE: NC ZIP: 28217-4500 BUSINESS PHONE: 7043571000 MAIL ADDRESS: STREET 1: 2801 WEST TYVOLA ROAD CITY: CHARLOTTE STATE: NC ZIP: 28217-4500 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2011-05-17 0 0001051771 BELK INC NONE 0001189863 BELK JOHN R 2801 WEST TYVOLA ROAD CHARLOTTE NC 28217-4500 1 1 1 0 President & COO Class A Common Stock 2011-05-17 4 J 0 33141 33.70 D 360608 D Class A Common Stock 183809 I Trustee GRAT #1 Class A Common Stock 241912 I Trustee GRAT #2 Class A Common Stock 191513 I Trustee GRAT #3 Class A Common Stock 209184 I Spouse Class A Common Stock 152992 I Custodian Class A Common Stock 676677 I Trustee Class A Common Stock 1221842 I Brothers Investment Company Class A Common Stock 444212 I Milburn Investment Company Class A Common Stock 178897 I Trustee Class B Common Stock 2011-05-17 4 J 0 11369 33.70 D 0 D Class B Common Stock 5606 I Custodian Class B Common Stock 18700 I Trustee 33,141 shares of Class A common stock were tendered to the Company pursuant to a Tender Offer at $33.70 per share. 360,608 shares of Class A common stock are held in Reporting Person's name and/or John Robert Belk, Trustee U/A dated 1/17/94, Reporting Person's grantor trust. 183,809 shares of Class A common stock are held by John R. Belk Grantor Retained Annuity Trust dated January 23, 2006. Reporting Person is the Trustee. 241,912 shares of Class A common stock are held by John R. Belk Grantor Retained Annuity Trust dated October 12, 2009. Reporting Person is the Trustee. 191,513 shares of Class A common stock are held by John R. Belk Grantor Retained Annuity Trust dated October 22, 2010. Reporting Person is the Trustee. 209,184 shares of Class A common stock are held by Kimberly D. Belk, Reporting Person's spouse, or by her grantor trust, Kimberly Dupree Belk Revocable Trust dated July 27, 2007. 152,992 shares of Class A common stock are held by Reporting Person as custodian of his minor children. 676,677 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. 1,221,842 shares of Class A common stock are held by Brothers Investment Company, which corporation is equally owned by John M. Belk 1999 Grantor Trust and the heirs of Thomas M. Belk. Voting and investment power is shared by Susan N. Jamison, Katherine Belk Morris and Wells Fargo Bank, N.A., Co-Trustees of the John M. Belk 1999 Grantor 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. 444,212 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. 178,897 shares of Class A common stock are held by Anna Dupree Belk Irrevocable Trust dated May 28, 2010. Voting and investment power is shared by Anna Dupree Belk, John R. Belk and Kimberly D. Belk, the trustees. 11,369 shares of Class B common stock were tendered to the Company pursuant to a Tender Offer at $33.70 per share. 5,606 shares of Class B common stock are held by Reporting Person as custodian of his minor children. 18,700 shares of Class B common stock are held by Anna Dupree Belk Irrevocable Trust dated May 28, 2010. Voting and investment power is shared by Anna Dupree Belk, John R. Belk and Kimberly D. Belk, the trustees. John R. Belk by Betty F. Buchanan, POA 2011-05-18