0001127602-23-003250.txt : 20230203
0001127602-23-003250.hdr.sgml : 20230203
20230203101350
ACCESSION NUMBER: 0001127602-23-003250
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221231
FILED AS OF DATE: 20230203
DATE AS OF CHANGE: 20230203
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: 23584121
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: 1231
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
2022-12-31
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
433293.8162
D
Common Stock
70625
I
By Spouse
Common Stock
23435
I
By Spouse's Trust
Common Stock
8000
I
By Custodian for Child
Common Stock
275597.0205
I
By ESOP
Common Stock
11197.3957
I
By 401(k)
SERP Stock
Common Stock
32272.7705
32272.7705
I
By SERP
The number of shares reported as beneficially owned has been adjusted for the 5-for-1 split of Publix Super Markets, Inc. common stock effective April 14, 2022.
Acquired under the Publix Super Markets, Inc. Employee Stock Ownership Plan. Transaction exempt under rule 16b-3(c). The number of shares reported had been adjusted for the 5-for-1 split of Publix Super Markets, Inc. common stock effective April 14, 2022.
Acquired under the Publix Super Markets, Inc. 401(k) SMART Plan. Transaction exempt under rule 16b-3(c). The number of shares reported had been adjusted for the 5-for-1 split of Publix Super Markets, Inc. common stock effective April 14, 2022.
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. The number of shares reported has been adjusted for the 5-for-1 split of Publix Super Markets, Inc. common stock effective April 14, 2022.
/s/ Monica Allman, POA on file for David Bornmann
2023-02-03