-----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, K8ffqkfSnmMGEHVwghfSLPgvC8DwwV9mQ3xZ4E/rSERE/OVupsRE+mr43I50HAr8 yNQE/MNt8Gpl6T32QZLpjw== 0001127602-10-002595.txt : 20100129 0001127602-10-002595.hdr.sgml : 20100129 20100129145850 ACCESSION NUMBER: 0001127602-10-002595 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091226 FILED AS OF DATE: 20100129 DATE AS OF CHANGE: 20100129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOLLIS MARK CLAYTON CENTRAL INDEX KEY: 0001215780 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 10558221 ISSUER: 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: 1226 BUSINESS ADDRESS: STREET 1: 3300 PUBLIX CORPORATE PARKWAY CITY: LAKELAND STATE: FL ZIP: 33811 BUSINESS PHONE: 863-688-1188 MAIL ADDRESS: STREET 1: 3300 PUBLIX CORPORATE PARKWAY CITY: LAKELAND STATE: FL ZIP: 33811 5 1 form5.xml PRIMARY DOCUMENT X0303 5 2009-12-26 0 0 0000081061 PUBLIX SUPER MARKETS INC NONE 0001215780 HOLLIS MARK CLAYTON P.O. BOX 407 LAKELAND FL 33802-0407 1 Vice President Common Stock 2009-03-02 5 J 0 1208.033 16.10 A 65887.4351 I By ESOP Common Stock 2009-03-02 5 J 0 46.5839 16.10 A 1375.042 I By 401(k) Common Stock 2009-08-03 5 J 0 0.0535 16.05 A 1375.0955 I By 401(k) Common Stock 2009-08-03 5 J 0 35.1259 16.05 A 1410.2214 I By 401(k) Common Stock 609735 D Common Stock 4150 I By Custodian For Child Common Stock 132281 I By Spouse Common Stock 229936 I By Trustee For Children Trust Common Stock 347616 I By Trustee Of Father's Trust Common Stock 347616 I By Trustee Of Mother's Trust Common Stock 494100 I By Trustee of Father's GRAT Common Stock 494100 I By Trustee of Mother's GRAT Acquired under the Publix Super Markets, Inc. Employee Stock Ownership Plan. Transaction exempt under rule 16b-3(c). Acquired under the Publix Super Markets, Inc. 401(k) SMART Plan. Transaction exempt under rule 16b-3(c). /s/ Monica Allman, POA on file for Mark Clayton Hollis, Jr 2010-01-28 -----END PRIVACY-ENHANCED MESSAGE-----