0001127602-13-004134.txt : 20130204 0001127602-13-004134.hdr.sgml : 20130204 20130204211343 ACCESSION NUMBER: 0001127602-13-004134 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121228 FILED AS OF DATE: 20130204 DATE AS OF CHANGE: 20130204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROSKOVICH CHARLES B CENTRAL INDEX KEY: 0001421786 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 13571854 MAIL ADDRESS: STREET 1: P.O. BOX 32040 CITY: LAKELAND STATE: FL ZIP: 33802-2040 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 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2012-12-28 0 0 0000081061 PUBLIX SUPER MARKETS INC NONE 0001421786 ROSKOVICH CHARLES B P.O. BOX 407 LAKELAND FL 33802 1 Senior Vice President Common Stock 211.1393 I By 401(k) Common Stock 59192.5024 I By ESOP Common Stock 46.6427 I Son's ESOP Common Stock 30 I By Spouse 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 Charles Roskovich 2013-02-04