0001127602-22-002397.txt : 20220128 0001127602-22-002397.hdr.sgml : 20220128 20220128153658 ACCESSION NUMBER: 0001127602-22-002397 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: DOUGLAS LAURIE Z CENTRAL INDEX KEY: 0001350569 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 22568487 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 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 0001350569 DOUGLAS LAURIE Z P.O BOX 407 LAKELAND FL 33802-0407 1 Senior Vice President Common Stock 2021-01-19 5 J 0 1562.4621 57.95 A 7368.8275 I By Spouse's IRA Common Stock 2021-01-19 5 J 0 1562.4621 57.95 D 0 I By Spouse's 401(k) Common Stock 2021-04-01 5 J 0 8.1811 60.20 D 0 I By Spouse's 401(k) Common Stock 2021-04-01 5 J 0 8.1811 60.20 A 7377.0086 I By Spouse's IRA Common Stock 2021-04-22 5 J 0 2800 60.20 A 68974.0966 D Common Stock 2021-04-22 5 J 0 2800 60.20 D 0 I By Spouse Common Stock 428.6584 I By 401(k) Common Stock 10417.6071 I By ESOP SERP Stock 2021-03-01 5 A 0 1414.0651 60.20 A Common Stock 1414.0651 14824.7064 I By SERP 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 Laurie Z. Douglas 2022-01-28