0001127602-22-001226.txt : 20220110 0001127602-22-001226.hdr.sgml : 20220110 20220110154308 ACCESSION NUMBER: 0001127602-22-001226 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220101 FILED AS OF DATE: 20220110 DATE AS OF CHANGE: 20220110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOFF JOHN JR CENTRAL INDEX KEY: 0001903694 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 22521190 MAIL ADDRESS: STREET 1: P.O. BOX 407 CITY: LAKELAND STATE: FL ZIP: 33802-0407 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: 1225 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 3 1 form3.xml PRIMARY DOCUMENT X0206 3 2022-01-01 0 0000081061 PUBLIX SUPER MARKETS INC NONE 0001903694 GOFF JOHN JR P.O. BOX 407 LAKELAND FL 33802-0407 1 Senior Vice President Common Stock 5 I By Custodian for Child Common Stock 14694.4721 I By ESOP Common Stock 3801.6849 I By 401(k) SERP Stock Common Stock 46.0385 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 John Goff Jr. 2022-01-10