-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, OnZ00Hblibnh/478rCGotae29F9x8vwZzTRzR3beKMVBPNqd76wmv3huTJj1Lyjj Wu3zG8WxUu/5e8KC0qd8bA== 0001209191-09-048769.txt : 20091015 0001209191-09-048769.hdr.sgml : 20091015 20091015191109 ACCESSION NUMBER: 0001209191-09-048769 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090830 FILED AS OF DATE: 20091015 DATE AS OF CHANGE: 20091015 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SINEGAL JAMES D CENTRAL INDEX KEY: 0001184948 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20355 FILM NUMBER: 091122226 MAIL ADDRESS: STREET 1: C/O COSTCO WHOLESALE CORP. STREET 2: 999 LAKE DRIVE CITY: ISAQUAH STATE: WA ZIP: 98027 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COSTCO WHOLESALE CORP /NEW CENTRAL INDEX KEY: 0000909832 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] IRS NUMBER: 911223280 STATE OF INCORPORATION: WA FISCAL YEAR END: 0830 BUSINESS ADDRESS: STREET 1: 999 LAKE DRIVE CITY: ISSAQUAH STATE: WA ZIP: 98027- BUSINESS PHONE: 4253138100 MAIL ADDRESS: STREET 1: 999 LAKE DRIVE CITY: ISSAQUAH STATE: WA ZIP: 98027 FORMER COMPANY: FORMER CONFORMED NAME: COSTCO COMPANIES INC DATE OF NAME CHANGE: 19970401 FORMER COMPANY: FORMER CONFORMED NAME: PRICE/COSTCO INC DATE OF NAME CHANGE: 19930728 5 1 doc5.xml FORM 5 SUBMISSION X0303 5 2009-08-30 0 0 0 0000909832 COSTCO WHOLESALE CORP /NEW COST 0001184948 SINEGAL JAMES D 999 LAKE DRIVE ISSAQUAH WA 98027 1 1 0 0 President and CEO Common Stock 2008-10-13 5 G 0 16801 D 596766 D Common Stock 2008-10-13 5 G 0 2100 D 594666 D Common Stock 2008-10-13 5 G 0 2100 D 592566 D Common Stock 2008-10-13 5 G 0 5040 D 587526 D Common Stock 2008-10-13 5 G 0 504 D 587022 D Common Stock 2008-12-17 5 G 0 2220 D 577546 D Common Stock 2008-12-19 5 G 0 3472 D 574074 D Common Stock 2008-12-19 5 J 0 52391 0.00 A 626465 D Common Stock 2008-12-19 5 J 0 15042 0.00 A 641507 D Common Stock 2008-12-19 5 J 0 15042 0.00 A 656549 D Common Stock 2009-03-24 5 G 0 10810 D 645739 D Common Stock 2009-04-23 5 J 0 11273 0.00 A 655756 D Common Stock 2009-04-23 5 J 0 11273 0.00 A 667029 D Common Stock 2008-12-19 5 G 0 35098 0.00 D 1484083 I By LLC Common Stock 2008-12-19 5 G 0 35098 0.00 D 1448985 I By LLC Common Stock 2008-12-19 5 J 0 52391 0.00 D 1396594 I By LLC Common Stock 2008-12-19 5 G 0 35098 0.00 A 45723 I By GRAT Common Stock 2008-12-19 5 J 0 15042 0.00 D 30681 I By GRAT Common Stock 2009-04-23 5 J 0 11273 0.00 D 19408 I By GRAT Common Stock 2008-12-19 5 G 0 35098 0.00 A 45723 I By Spouse's GRAT Common Stock 2008-12-19 5 J 0 15042 0.00 D 30681 I By Spouse's GRAT Common Stock 2009-04-23 5 J 0 11273 0.00 D 19408 I By Spouse's GRAT Personal gift. Represents shares distributed from LLC to reporting person. Represents shares distributed from a GRAT to reporting person. Represents shares distributed to spouse of reporting person by a GRAT of which she is the sole trustee. Represents transfer of shares from LLC co-managed by reporting person and spouse, each of whom holds a 50% ownership interest in the LLC, to two grantor retained annuity trusts ("GRAT"); reporting person and spouse are the sole trustees of their respective GRATs. Deanna K. Nakashima, attorney-in-fact 2009-10-15 -----END PRIVACY-ENHANCED MESSAGE-----