0001127602-12-005880.txt : 20120214 0001127602-12-005880.hdr.sgml : 20120214 20120214161133 ACCESSION NUMBER: 0001127602-12-005880 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: DOUGLAS LAURIE Z CENTRAL INDEX KEY: 0001350569 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 12609859 MAIL ADDRESS: STREET 1: P.O. BOX 407 CITY: LAKELAND STATE: FL ZIP: 33802-0407 FORMER NAME: FORMER CONFORMED NAME: ZEITLIN LAURIE DATE OF NAME CHANGE: 20060123 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 1 0000081061 PUBLIX SUPER MARKETS INC NONE 0001350569 DOUGLAS LAURIE Z P.O BOX 407 LAKELAND FL 33802-0407 1 Vice President Common Stock 2011-03-01 5 J 0 35.8852 20.90 A 168.1009 I By 401(k) Common Stock 2011-03-01 5 J 0 35.8852 20.90 A 1070.4611 I By Spouse's 401(k) Common Stock 2011-03-01 5 J 0 971.6598 20.90 A 4369.4612 I By ESOP Common Stock 2011-03-01 5 J 0 517.3394 20.90 A 32287.9984 I By Spouse's ESOP Common Stock 2011-08-01 5 J 0 25.7311 22.05 A 1096.1922 I By Spouse's 401(k) Common Stock 2011-08-01 5 J 0 4.0408 22.05 A 172.1417 I By 401(k) Common Stock 2011-08-08 4 P 0 L 70 22.05 A 28080 I By Spouse Common Stock 10500 D 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 Laurie Z. Douglas 2012-02-14