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