0001140361-16-051144.txt : 20160209 0001140361-16-051144.hdr.sgml : 20160209 20160209174748 ACCESSION NUMBER: 0001140361-16-051144 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160209 FILED AS OF DATE: 20160209 DATE AS OF CHANGE: 20160209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WEIS MARKETS INC CENTRAL INDEX KEY: 0000105418 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 240755415 STATE OF INCORPORATION: PA FISCAL YEAR END: 1226 BUSINESS ADDRESS: STREET 1: 1000 S SECOND ST STREET 2: PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801 BUSINESS PHONE: 570-286-4571 MAIL ADDRESS: STREET 1: 1000 S SECOND ST STREET 2: PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Weis Jennifer CENTRAL INDEX KEY: 0001660464 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05039 FILM NUMBER: 161401313 MAIL ADDRESS: STREET 1: C/O WEIS MARKETS, INC. STREET 2: 1000 SOUTH SECOND STREET, PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801 FORMER NAME: FORMER CONFORMED NAME: Monsky Jennifer Weis DATE OF NAME CHANGE: 20151209 3 1 doc1.xml FORM 3 X0206 3 2016-02-09 0 0000105418 WEIS MARKETS INC WMK 0001660464 Weis Jennifer C/O WEIS MARKETS, INC. 1000 SOUTH SECOND STREET, PO BOX 471 SUNBURY PA 17801 0 0 0 1 Member of a 10% owner group Common Stock 1108181 I By HW Trust Common Stock 49360 I By JW 1976 Trust Common Stock 23766 I By Trusts for the Benefit of Children Common Stock 7922 I Held by Child Common Stock 2005 I Held by Spouse Common Stock 89776 D /s/ Jennifer Weis 2016-02-09