0001127602-17-002914.txt : 20170130 0001127602-17-002914.hdr.sgml : 20170130 20170130165546 ACCESSION NUMBER: 0001127602-17-002914 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: Smith Michael CENTRAL INDEX KEY: 0001326022 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 17558156 MAIL ADDRESS: STREET 1: P.O. BOX 407 CITY: LAKELAND STATE: FL ZIP: 33802-0407 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2016-12-31 0 0 0000081061 PUBLIX SUPER MARKETS INC NONE 0001326022 Smith Michael P.O. BOX 407 LAKELAND FL 33802 1 Senior Vice President Common Stock 17770.7074 D Common Stock 1405.4232 I By 401(k) Common Stock 45013.9802 I By ESOP SERP Stock 2016-03-01 5 A 0 359.3235 45.20 A Common Stock 359.3235 1218.2807 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 Michael Smith 2017-01-30