0001209191-11-029478.txt : 20110518 0001209191-11-029478.hdr.sgml : 20110518 20110518181437 ACCESSION NUMBER: 0001209191-11-029478 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 KATHERINE MCKAY CENTRAL INDEX KEY: 0001247897 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26207 FILM NUMBER: 11855928 MAIL ADDRESS: STREET 1: 2801 W TYVOLA RD 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 0001247897 BELK KATHERINE MCKAY C/O BELK, INC. 2801 WEST TYVOLA ROAD CHARLOTTE NC 28217-4500 0 0 1 0 Class A Common Stock 2011-05-17 4 J 0 8903 33.70 D 695576 D Class A Common Stock 343349 I Trustee, Charitable Remainder Unitrust Class A Common Stock 478600 I Trustee, GRAT #8 Class A Common Stock 504260 I Trustee, GRAT #9 Class A Common Stock 692856 I Trustee, GRAT #10 Class A Common Stock 862066 I Custodian Class A Common Stock 100 I Spouse (deceased) Class A Common Stock 1221842 I Brothers Investment Company Class A Common Stock 444212 I Milburn Investment Company Class B Common Stock 105445 I Custodian 8,903 shares of Class A common stock were tendered to the Company pursuant to a Tender Offer at $33.70 per share. 695,576 shares of Class A common stock are held in Reporting Person's name and/or Katherine McKay Belk Trust dated November 6, 2000, Reporting Person's grantor trust. Voting and investment power of the grantor trust is shared by Katherine McKay Belk, Thomas M. Belk, Jr., H.W. McKay Belk, John R. Belk and Katherine Belk Morris. 343,349 shares of Class A common stock are held by Katherine McKay Belk Cook Charitable Remainder Unitrust. Reporting Person is the Trustee. 478,600 shares of Class A common stock are held by Katherine McKay Belk Grantor Retained Annuity Trust Number Eight dated April 26, 2010. Reporting Person is the Trustee. 504,260 shares of Class A common stock are held by Katherine McKay Belk Grantor Retained Annuity Trust Number Nine dated April 26, 2010. Reporting Person is the Trustee. 692,856 shares of Class A common stock are held by Katherine McKay Belk Grantor Retained Annuity Trust Number Ten dated April 26, 2010. Reporting Person is the Trustee. 862,066 shares of Class A common stock are held by Reporting Person as custodian of her minor grandchildren. 100 shares of Class A common stock are held in the name of Reporting Person's husband (deceased), James Fielder Cook. 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. 105,445 shares of Class B common stock are held by Reporting Person as custodian of her minor grandchildren. Katherine McKay Belk by Betty F. Buchanan, POA 2011-05-18