0001127602-12-013758.txt : 20120413 0001127602-12-013758.hdr.sgml : 20120413 20120413112558 ACCESSION NUMBER: 0001127602-12-013758 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120411 FILED AS OF DATE: 20120413 DATE AS OF CHANGE: 20120413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHAMBERLAIN JEFFREY G. CENTRAL INDEX KEY: 0001509192 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 12757857 MAIL ADDRESS: STREET 1: P.O. BOX 407 CITY: LAKELAND STATE: FL ZIP: 33802 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: 1231 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 4 1 form4.xml PRIMARY DOCUMENT X0305 4 2012-04-11 0000081061 PUBLIX SUPER MARKETS INC NONE 0001509192 CHAMBERLAIN JEFFREY G. P.O. BOX 407 LAKELAND FL 33802-0407 1 Vice President Common Stock 2012-02-29 5 G 0 E 100 20.20 D 46405 D Common Stock 2012-03-30 5 G 0 E 450 22.40 D 45955 D Common Stock 2012-03-30 5 G 0 E 450 22.40 A 3327 I By Custodian For Children Common Stock 2012-04-11 4 P 0 1000 22.40 A 46955 D Common Stock 939.884 I By 401(K) Common Stock 588.9902 I By Childrens ESOP Common Stock 82210.146 I By ESOP Common Stock 450 I By Son Common Stock 2500 I By Spouse's Trust Acquired under the Publix Super Markets, Inc. 401(k) SMART Plan. Transaction exempt under rule 16b-3(c). One of the reporting person's children received their fifth break-in-service and the shares were forfeited back to the 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 Jeffrey G. Chamberlain 2012-04-13