0001127602-19-003021.txt : 20190130 0001127602-19-003021.hdr.sgml : 20190130 20190130150811 ACCESSION NUMBER: 0001127602-19-003021 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181231 FILED AS OF DATE: 20190130 DATE AS OF CHANGE: 20190130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BORNMANN DAVID E CENTRAL INDEX KEY: 0001215767 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 19551572 MAIL ADDRESS: STREET 1: P.O. BOX 407 CITY: LAKELAND STATE: FL ZIP: 33802 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: 1229 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 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2018-12-31 0 0 0000081061 PUBLIX SUPER MARKETS INC NONE 0001215767 BORNMANN DAVID E P.O. BOX 407 LAKELAND FL 33802 1 Senior Vice President Common Stock 81086 D Common Stock 14125 I By Spouse Common Stock 4687 I By Spouse's Trust Common Stock 1600 I By Custodian for Child Common Stock 53435.625 I By ESOP Common Stock 2019.9005 I By 401(k) SERP Stock Common Stock 3552.8375 3552.8375 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 David Bornmann 2019-01-30