0001127602-15-031931.txt : 20151118 0001127602-15-031931.hdr.sgml : 20151118 20151118210146 ACCESSION NUMBER: 0001127602-15-031931 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151117 FILED AS OF DATE: 20151118 DATE AS OF CHANGE: 20151118 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BORNMANN DAVID E CENTRAL INDEX KEY: 0001215767 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 151242139 MAIL ADDRESS: STREET 1: P.O. BOX 407 CITY: LAKELAND STATE: FL ZIP: 33802 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2015-11-17 0000081061 PUBLIX SUPER MARKETS INC NONE 0001215767 BORNMANN DAVID E P.O. BOX 407 LAKELAND FL 33802 1 Vice President Common Stock 2015-11-17 4 P 0 1200 41.80 A 81255 D Common Stock 2015-11-17 4 P 0 120 41.80 A 1157 I By Custodian for Children Common Stock 1839.1333 I By 401(k) Common Stock 787 I By Child Common Stock 51861.2097 I By ESOP Common Stock 14125 I By Spouse Common Stock 4687 I By Spouse's Trust SERP Stock Common Stock 1919.3768 1919.3768 I By SERP 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). Each share of SERP stock is the economic equivalent of one share of common stock. The shares of SERP stock become payable in common stock upon the reporting person's termination of employment in accordance with the Publix Super Markets, Inc. Supplemental Executive Retirement Plan. /s/ Monica Allman, POA on file for David Bornmann 2015-11-18