SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
INGLE ROBERT P II

(Last) (First) (Middle)
2913 US HIGHWAY 70 WEST

(Street)
BLACK MOUNTAIN NC 28711

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INGLES MARKETS INC [ IMKTA ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman & CEO
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
09/26/2015
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Class A Common Stock 09/10/2014 M4 19,500 A $0.00 133,832(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 09/11/2014 S4 5,000 D $26.0078(3) 128,832(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 12/09/2014 M4 13,100 A $0.00 141,932(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 12/11/2014 S4 14,500 D $31.1411(4) 127,432(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 12/19/2014 S4 1,000 D $34.86 126,432(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 12/22/2014 S4 12,100 D $34.1647(5) 114,332(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 02/18/2015 M4 40,000 A $0.00 154,332(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 02/27/2015 S4 10,300 D $44.1265(6) 144,032(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 03/02/2015 S4 29,700 D $44.7041(7) 114,332(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 03/16/2015 M4 4,500 A $0.00 118,832(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 03/16/2015 S4 4,500 D $50.5688(8) 114,332(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 05/08/2015 M4 5,000 A $0.00 119,332(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 05/08/2015 S4 5,000 D $42.2524(9) 114,332(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 06/15/2015 M4 27,000 A $0.00 141,332(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 06/15/2015 S4 556 D $49.5 140,776(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 06/18/2015 S4 21,900 D $49.5096(10) 118,876(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 06/23/2015 M4 16,500 A $0.00 135,376(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 06/23/2015 S4 21,044 D $48.4335(11) 114,332(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 08/06/2015 M4 4,000 A $0.00 118,332(1) I By Profit Sharing Plan Trust(2)
Class A Common Stock 08/14/2015 S4 4,000 D $52.7718(12) 114,332(1) I By Profit Sharing Plan Trust(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock (13) 09/10/2014 4M 19,500 (13) (13) Class A Common Stock 19,500 $0.00 423,392 I By Profit Sharing Plan Trust(2)
Class B Common Stock (13) 12/09/2014 4M 13,100 (13) (13) Class A Common Stock 13,100 $0.00 410,292 I By Profit Sharing Plan Trust(2)
Class B Common Stock (13) 02/18/2015 4M 40,000 (13) (13) Class A Common Stock 40,000 $0.00 370,292 I By Profit Sharing Plan Trust(2)
Class B Common Stock (13) 03/16/2015 4M 4,500 (13) (13) Class A Common Stock 4,500 $0.00 365,792 I By Profit Sharing Plan Trust(2)
Class B Common Stock (13) 05/08/2015 4M 5,000 (13) (13) Class A Common Stock 5,000 $0.00 360,792 I By Profit Sharing Plan Trust(2)
Class B Common Stock (13) 06/15/2015 4M 27,000 (13) (13) Class A Common Stock 27,000 $0.00 333,792 I By Profit Sharing Plan Trust(2)
Class B Common Stock (13) 06/23/2015 4M 16,500 (13) (13) Class A Common Stock 16,500 $0.00 317,292 I By Profit Sharing Plan Trust(2)
Class B Common Stock (13) 08/06/2015 4M 4,000 (13) (13) Class A Common Stock 4,000 $0.00 313,292 I By Profit Sharing Plan Trust(2)
Class B Common Stock (13) (13) (13) Class A Common Stock 3,337,531 3,337,531 I By Marital Trust(14)
Class B Common Stock (13) (13) (13) Class A Common Stock 2,131,119 2,131,119 I By Laura Ingle Trust(15)
Explanation of Responses:
1. The shares held by The Profit Sharing Plan Trust fluctuate daily based on individual participant investment choices.
2. The shares are held by Ingles Markets Inc. Investment/Profit Sharing Plan Trust (the "Profit Sharing Plan Trust"), of which the reporting person was appointed a trustee on May 10, 2011. The reporting person shares voting and dispositive power with the two other trustees of the Profit Sharing Plan Trust with respect to such shares.
3. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $26.00 to $26.0403, inclusive. The reporting person undertakes to provide to Ingles Markets Inc. (the "Company"), any security holder of the Company, or the staff of the Securities and Exchange Commission (the "SEC"), upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
4. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $31.0042 to $31.3354, inclusive. The reporting person undertakes to provide to the Company, any security holder of the Company, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
5. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $34.0378 to $34.3267, inclusive. The reporting person undertakes to provide to the Company, any security holder of the Company, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
6. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $44.1208 to $44.1479, inclusive. The reporting person undertakes to provide to the Company, any security holder of the Company, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
7. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $44.50 to $45.2463, inclusive. The reporting person undertakes to provide to the Company, any security holder of the Company, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
8. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $50.54 to $50.7625, inclusive. The reporting person undertakes to provide to the Company, any security holder of the Company, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
9. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $42.0401 to $42.655, inclusive. The reporting person undertakes to provide to the Company, any security holder of the Company, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
10. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $49.50 to $49.645, inclusive. The reporting person undertakes to provide to the Company, any security holder of the Company, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
11. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $48.40 to $48.55, inclusive. The reporting person undertakes to provide to the Company, any security holder of the Company, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
12. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $52.75 to $52.94, inclusive. The reporting person undertakes to provide to the Company, any security holder of the Company, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
13. Class B Common Stock is convertible into Class A Common Stock at any time on a one-for-one basis, and has no expiration date.
14. The shares are held by Robert P. Ingle, Sr. Administrative Trust UTA Robert Pierce Ingle Living Trust dated December 24, 2010 (the "Marital Trust"), which was created by Robert P. Ingle, Sr. for estate planning purposes on December 24, 2010. The reporting person is the sole trustee of the Marital Trust with sole voting and dispositive power with respect to such shares.
15. The shares are held by Laura Anne Laxton Ingle 2011 Irrevocable Trust dated September 8, 2011 (the "Laura Ingle Trust"), which was created by Laura Ingle for estate planning purposes on September 8, 2011. The reporting person is the sole trustee of the Laura Ingle Trust with sole voting and dispositive power with respect to such shares.
Remarks:
Ronald B. Freeman, as attorney-in-fact 11/09/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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