-----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, KuoTAOw66iQLXsak4EWZTMDwBZXIcoO88RPeHJOBmDR6QCzMcbTvtuh/te0sTpA5 fe+9WrOhtT1pjMGOnMuOFA== 0001209191-09-058889.txt : 20091229 0001209191-09-058889.hdr.sgml : 20091229 20091229122928 ACCESSION NUMBER: 0001209191-09-058889 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091228 FILED AS OF DATE: 20091229 DATE AS OF CHANGE: 20091229 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BROTMAN JEFFREY H CENTRAL INDEX KEY: 0001184491 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20355 FILM NUMBER: 091263313 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 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-12-28 0 0000909832 COSTCO WHOLESALE CORP /NEW COST 0001184491 BROTMAN JEFFREY H 999 LAKE DRIVE ISSAQUAH WA 98027 1 1 0 0 Chairman of the Board Common Stock 2009-12-28 4 M 0 50000 52.50 A 184335 D Common Stock 2009-12-28 4 S 0 50000 60.5352 D 134335 D Common Stock 986703.04 I 1984 Brotman Family Trust Common Stock 20 I Justin Brotman Stock Option 52.50 2009-12-28 4 M 0 50000 52.50 D 2000-04-03 2010-04-03 Common Stock 50000 0 D Mr. Brotman disclaims beneficial ownership of shares owned by the trust. Mr. Brotman is not a trustee of this trust nor does he have investment control over the trust's assets. Mr. Brotman is one of a number of beneficiaries of the trust. Deanna K. Nakashima, attorney-in-fact 2009-12-29 -----END PRIVACY-ENHANCED MESSAGE-----