0001127602-12-005813.txt : 20120214 0001127602-12-005813.hdr.sgml : 20120214 20120214151853 ACCESSION NUMBER: 0001127602-12-005813 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111230 FILED AS OF DATE: 20120214 DATE AS OF CHANGE: 20120214 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: 12608555 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: 1225 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 X0304 5 2011-12-30 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 2011-01-14 5 G 0 5232 19.85 A 244160 I By Trustee For Children Trust Common Stock 2011-01-14 5 G 0 1308 19.85 A 132973 I By Spouse Common Stock 2011-03-01 5 J 0 35.8852 20.90 A 1525.618 I By 401(k) Common Stock 2011-03-01 5 J 0 916.9137 20.90 A 67772.2458 I By ESOP Common Stock 2011-04-20 5 J 0 109736 20.90 D 490264 I By Grantor Retained Annuity Trust Common Stock 2011-04-20 5 J 0 109736 20.90 A 114226 D Common Stock 2011-04-22 5 J 0 104736 20.90 D 9490 D Common Stock 2011-04-22 5 J 0 104736 20.90 A 595000 I By Grantor Retained Annuity Trust Common Stock 2011-04-27 5 G 0 5000 20.90 D 4490 D Common Stock 2011-08-01 5 J 0 36.6726 22.05 A 1562.2906 I By 401(k) Common Stock 2011-11-29 5 G 0 66006 20.20 A 70496 D Common Stock 2011-11-29 5 G 0 66006 20.20 A 66006 I By Trustee of Brother's Trust Common Stock 2011-12-01 5 G 0 240 20.20 D 70256 D Common Stock 4150 I By Custodian For Child Common Stock 841716 I By Trustee of Father's GRAT Common Stock 841716 I By Trustee of Mother's GRAT Acquired under the Publix Super Markets, Inc. 401(k) SMART Plan. Transaction exempt under rule 16b-3(c). Acquired under the Publix Super Markets, Inc. Employee Stock Ownership Plan. Transaction exempt under rule 16b-3(c). /s/ Monica Allman, POA on file for Mark Clayton Hollis, Jr 2012-02-14