0001127602-22-002373.txt : 20220128 0001127602-22-002373.hdr.sgml : 20220128 20220128123042 ACCESSION NUMBER: 0001127602-22-002373 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211225 FILED AS OF DATE: 20220128 DATE AS OF CHANGE: 20220128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PHILLIPS DAVID P CENTRAL INDEX KEY: 0001215800 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 22566672 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: 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 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2021-12-25 0 0 0000081061 PUBLIX SUPER MARKETS INC NONE 0001215800 PHILLIPS DAVID P P.O. BOX 407 LAKELAND FL 33802 1 Chief Financial Officer Common Stock 162878 D Common Stock 17025 I By IRA Common Stock 7000 I By Custodian For Child Common Stock 114629 I By Spouse as Trustee for Irrevocable Trusts Common Stock 68982.1574 I By ESOP Common Stock 2186.4376 I By 401(k) SERP Stock 2021-03-01 5 A 0 1501.8629 60.20 A Common Stock 1501.8629 17898.3474 I By SERP Acquired under the Publix Super Markets, Inc. Employee Stock Ownership Plan. Transaction exempt under rule 16b-3(c). Acquired under Publix Super Market's Inc. 401(k) 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 Phillips 2022-01-28