FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
PUBLIX SUPER MARKETS INC [ NONE ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2016 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock | 03/14/2016 | G | 3,714 | D | $45.2 | 2,013,741 | D | ||||||||
Common Stock | 03/14/2016 | G | 309 | D | $45.2 | 5,973,240 | I | By Trustee Of Mother's Trust | |||||||
Common Stock | 03/14/2016 | G | 309 | A | $45.2 | 2,014,050 | D | ||||||||
Common Stock | 03/14/2016 | G | 618 | D | $45.2 | 5,972,622 | I | By Trustee Of Mother's Trust | |||||||
Common Stock | 03/14/2016 | G | 618 | A | $45.2 | 17,052 | I | By Trustee Of Nephews' Trust | |||||||
Common Stock | 03/14/2016 | G | 927 | A | $45.2 | 17,361 | I | By Trustee Of Nieces' Trust | |||||||
Common Stock | 03/14/2016 | G | 927 | D | $45.2 | 5,971,695 | I | By Trustee Of Mother's Trust | |||||||
Common Stock | 03/14/2016 | G | 1,677 | D | $45.2 | 5,970,018 | I | By Trustee Of Mother's Trust | |||||||
Common Stock | 04/14/2016 | G | 5,787 | A | $45.2 | 22,839 | I | By Trustee Of Nephews' Trust | |||||||
Common Stock | 04/14/2016 | G | 5,787 | D | $45.2 | 5,964,231 | I | By Trustee Of Mother's Trust | |||||||
Common Stock | 05/10/2016 | J | 16,882 | A | $43.95 | 2,030,932 | D | ||||||||
Common Stock | 05/10/2016 | J | 16,882 | D | $43.95 | 136,130 | I | By GRAT | |||||||
Common Stock | 05/11/2016 | J | 2,236,259 | D | $43.95 | 3,727,972 | I | By Trustee Of Mother's Trust | |||||||
Common Stock | 05/11/2016 | J | 2,236,259 | A | $43.95 | 2,236,259 | I | By Trustee of Trust ACU Mother's Trust | |||||||
Common Stock | 08/26/2016 | J | 119,500 | A | $41.9 | 255,630 | I | By GRAT | |||||||
Common Stock | 08/26/2016 | J | 119,500 | D | $41.9 | 1,911,432 | D | ||||||||
Common Stock | 11/22/2016 | G | 4,872 | D | $40.15 | 3,723,100 | I | By Trustee Of Mother's Trust | |||||||
Common Stock | 1,892.3059 | I | By 401(k)(1) | ||||||||||||
Common Stock | 174,163.94 | I | By ESOP(2) | ||||||||||||
Common Stock | 43,260 | I | By Family Limited Partnership(3) | ||||||||||||
Common Stock | 25,000 | I | By Spouse | ||||||||||||
Common Stock | 9,640 | I | By Spouse As Custodian For Children |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
SERP Stock | (4) | 03/01/2016 | A | 1,582.8801 | (4) | (4) | Common Stock | 1,582.8801 | $45.2 | 11,072.1072 | I | By SERP |
Explanation of Responses: |
1. Acquired under the Publix Super Markets, Inc. 401(k) SMART Plan. Transaction exempt under rule 16b-3(c). |
2. Acquired under the Publix Super Markets, Inc. Employee Stock Ownership Plan. Transaction exempt under rule 16b-3(c). |
3. The reporting person disclaims beneficial ownership of the common stock held by the Limited Partnership except to the extent of his pecuniary interest therein. |
4. 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 William E Crenshaw | 01/30/2017 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |