0001127602-16-038510.txt : 20160129 0001127602-16-038510.hdr.sgml : 20160129 20160129165952 ACCESSION NUMBER: 0001127602-16-038510 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151226 FILED AS OF DATE: 20160129 DATE AS OF CHANGE: 20160129 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: DOUGLAS LAURIE Z CENTRAL INDEX KEY: 0001350569 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 161374198 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 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2015-12-26 0 0 0000081061 PUBLIX SUPER MARKETS INC NONE 0001350569 DOUGLAS LAURIE Z P.O BOX 407 LAKELAND FL 33802-0407 1 Vice President Common Stock 35930 D Common Stock 2800 I By Spouse Common Stock 7497.3714 I By ESOP Common Stock 306.2335 I By 401(k) Common Stock 34381.65 I By Spouse's ESOP Common Stock 1325.1825 I By Spouse's 401(k) SERP Stock Common Stock 5817.8168 5817.8168 I By SERP Acquired under the Publix Super Markets, Inc. Employee Stock Ownership Plan. Transaction exempt under rule 16b-3(c). Acquired under the Publix Super Markets, Inc. 401(k) SMART 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 Laurie Z. Douglas 2016-01-29