0001127602-17-002891.txt : 20170130
0001127602-17-002891.hdr.sgml : 20170130
20170130163937
ACCESSION NUMBER: 0001127602-17-002891
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170130
DATE AS OF CHANGE: 20170130
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: 17557954
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
2016-12-31
0
0
0000081061
PUBLIX SUPER MARKETS INC
NONE
0001350569
DOUGLAS LAURIE Z
P.O BOX 407
LAKELAND
FL
33802-0407
1
Senior Vice President
Common Stock
35930
D
Common Stock
2800
I
By Spouse
Common Stock
329.0668
I
By 401(k)
Common Stock
7996.7372
I
By ESOP
Common Stock
1368.1797
I
By Spouse's 401(k)
Common Stock
34730.0534
I
By Spouse's ESOP
SERP Stock
2016-03-01
5
A
0
1209.4991
45.20
A
Common Stock
1209.4991
7027.3159
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 Laurie Z. Douglas
2017-01-30