0001127602-13-004214.txt : 20130205 0001127602-13-004214.hdr.sgml : 20130205 20130205111703 ACCESSION NUMBER: 0001127602-13-004214 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121228 FILED AS OF DATE: 20130205 DATE AS OF CHANGE: 20130205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARNETT CAROL CENTRAL INDEX KEY: 0000901357 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 13572729 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 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2012-12-28 0 0 0000081061 PUBLIX SUPER MARKETS INC NONE 0000901357 BARNETT CAROL P.O. BOX 407 LAKELAND FL 33802-0407 1 Common Stock 2012-09-17 5 J 0 7555 22.00 D 0 I As Custodian For Child Common Stock 2012-09-17 5 J 0 7555 22.00 A 7555 I By Son Common Stock 2012-09-17 5 J 0 18408 22.00 A 25963 I By Son Common Stock 2012-12-05 5 J 0 172210 22.50 D 4073758 I By Grantor Retained Annuity Trust Common Stock 2012-12-05 5 J 0 172210 22.50 A 38210219 D Common Stock 2012-12-05 5 J 0 1320778 22.50 D 2572980 I By Grantor Retained Annuity Trust Common Stock 2012-12-05 5 J 0 1320778 22.50 D 1432202 I By Grantor Retained Annuity Trust Common Stock 2012-12-21 5 G 0 590000 22.50 D 37620219 D Common Stock 2012-12-21 5 G 0 22358 22.50 D 37597861 D Common Stock 2012-12-21 5 G 0 5333 22.50 D 37592528 D Common Stock 2012-12-21 5 G 0 5333 22.50 A 31296 I By Son Common Stock 553362 I By Spouse Common Stock 1638.5617 I By Spouse's 401(k) Common Stock 712146 I By Spouse's Charitable Lead Annuity Trust Common Stock 1013740 I By Spouse's Children's Trust Common Stock 253245.7092 I By Spouse's ESOP Common Stock 948923 I By Spouse's Grandchildren Trust Represents a transfer of shares to a child under the Uniform Transfers to Minors Act. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose. /s/ Monica Allman, POA on file for Carol Barnett 2013-02-05