-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Hc32E2748qaCiQ1XkiM3PdP5IlyrF/08oOJTqUo/k4yEuokJi3n8/myfq+n2k5iG dI4ct0vS0KjogEcztX06bg== 0000900727-05-000002.txt : 20050211 0000900727-05-000002.hdr.sgml : 20050211 20050211170048 ACCESSION NUMBER: 0000900727-05-000002 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050211 DATE AS OF CHANGE: 20050211 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PUBLIX SUPER MARKETS INC CENTRAL INDEX KEY: 0000081061 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 590324412 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-38638 FILM NUMBER: 05599770 BUSINESS ADDRESS: STREET 1: PO BOX 407 CITY: LAKELAND STATE: FL ZIP: 33802 BUSINESS PHONE: 8636881188 MAIL ADDRESS: STREET 1: PO BOX 407 CITY: LAKELAND STATE: FL ZIP: 33802 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: JENKINS NANCY CENTRAL INDEX KEY: 0000900727 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] IRS NUMBER: 264783899 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: P O BOX 407 CITY: LAKELAND STATE: FL ZIP: 33802 BUSINESS PHONE: 8636881188 SC 13G 1 g13nej2005.txt SCHEDULE 13G, NANCY E. JENKINS UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 9) Publix Super Markets, Inc. -------------------------- (Name of Issuer) Common Stock, Par Value $1.00 Per Share --------------------------------------- (Title of Class of Securities) None ------------ (CUSIP Number) December 31, 2004 ----------------------------------------------------- (Date of Event which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: |_| Rule 13d-1(b) |_| Rule 13d-1(c) |X| Rule 13d-1(d) The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act. Page 1 of 4 Pages SCHEDULE 13G CUSIP No. None Page 2 of 4 Pages ---- -- -- 1 Names of Reporting Persons I.R.S. Identification Nos. of above persons (entities only) Nancy E. Jenkins 2 Check the Appropriate Box if a Member of a Group (a) _____ (b) _____ 3 SEC Use Only 4 Citizenship or Place of Organization United States Number of Shares 5 Sole Voting Power 9,427,558 Beneficially Owned By 6 Shared Voting Power 121,951 Each Reporting 7 Sole Dispositive Power 9,427,558 Person With: 8 Shared Dispositive Power 121,951 9 Aggregate Amount Beneficially Owned by Each Reporting Person 9,549,509 10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares ____ Not applicable. 11 Percent of Class Represented by Amount in Row (9) 5.5% 12 Type of Reporting Person IN SCHEDULE 13G CUSIP No. None Page 3 of 4 Pages ---- -- -- Item 1(a). Name of Issuer: Publix Super Markets, Inc. Item 1(b). Address of Issuer's Principal Executive Offices: 3300 Publix Corporate Parkway, Lakeland, FL 33811 Item 2(a). Name of Person Filing: Nancy E. Jenkins Item 2(b). Address of Principal Business Office or, if none, Residence: 3300 Publix Corporate Parkway, Lakeland, FL 33811 Item 2(c). Citizenship: United States Item 2(d). Title of Class of Securities: Common Stock, Par Value $1.00 Per Share Item 2(e). CUSIP Number: None Item 3. If this statement is filed pursuant to Rule 13d-1(b), or 13d-2(b) or (c), check whether the person is a: None Item 4. Ownership - --------------------- Information regarding ownership of common stock of the Company: (a) Amount beneficially owned: 9,549,509 (b) Percent of class: 5.5% (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote: 9,427,558 (ii) Shared power to vote or to direct the vote: 121,951 (iii) Sole power to dispose or to direct the disposition of: 9,427,558 (iv) Shared power to dispose or to direct the disposition of: 121,951 SCHEDULE 13G CUSIP No. None Page 4 of 4 Pages ---- -- -- As of December 31, 2004, Nancy E. Jenkins was the beneficial owner, as that term is defined under Rule 13d-3 under the Securities Exchange Act of 1934, as amended, (the "Act") of a total of 9,549,509 shares of the Company's common stock, or approximately 5.5% of the total outstanding shares of the Company's common stock. Nancy E. Jenkins has sole voting and dispositive powers with respect to the 9,427,558 shares owned by the Nancy E. Jenkins Revocable Trust (the "Revocable Trust"), Nancy E. Jenkins as Trustee. Changes that have occurred in the shares of common stock held by the Revocable Trust since the filing of the eighth amendment to the initial statement are reflected on Schedule 1 attached hereto. Item 5. Ownership of Five Percent or Less of a Class - ----------------------------------------------------- Not applicable. Item 6. Ownership of More than Five Percent on Behalf of Another Person - ------------------------------------------------------------------------ Not applicable. Item 7. Identification and Classification of the Subsidiary Which Acquired the - ------------------------------------------------------------------------------- Security Being Reported on By the Parent Holding Company or ----------------------------------------------------------- Control Person -------------- Not applicable. Item 8. Identification and Classification of Members of the Group - ------------------------------------------------------------------ Not applicable. Item 9. Notice of Dissolution of Group - --------------------------------------- Not applicable. Item 10. Certification - ---------------------- Not applicable. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: February 11, 2005 /s/ Nancy E. Jenkins -------------------- Nancy E. Jenkins Schedule 1 Shares Owned by Nancy E. Jenkins Shares Shares Price Date Acquired Disposed of (if applicable) Description of Transaction - ---- -------- ----------- --------------- -------------------------- Feb-04 435,000 Distribution from Revocable Trust Mar-04 435,000 Distribution from Revocable Trust Jun-04 450,000 Received distribution from family trust Jun-04 825,000 Distribution from Revocable Trust Sep-04 905,000 Distribution from Revocable Trust Oct-04 341,880 Gift ------- --------- 450,000 2,941,880 ======= ========= -----END PRIVACY-ENHANCED MESSAGE-----