0001209191-11-051721.txt : 20111013 0001209191-11-051721.hdr.sgml : 20111013 20111013181926 ACCESSION NUMBER: 0001209191-11-051721 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110828 FILED AS OF DATE: 20111013 DATE AS OF CHANGE: 20111013 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: 111140426 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: 0828 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 X0304 5 2011-08-28 0 0 0 0000909832 COSTCO WHOLESALE CORP /NEW COST 0001184948 SINEGAL JAMES D 999 LAKE DRIVE ISSAQUAH WA 98027 1 1 0 0 CEO Common Stock 2010-11-08 5 G 0 15430 D 850424 D Common Stock 2010-11-08 5 G 0 1929 D 848495 D Common Stock 2010-11-08 5 G 0 540 D 847955 D Common Stock 2010-11-12 5 G 0 3067 D 844888 D Common Stock 2010-11-29 5 G 0 1940 D 834948 D Common Stock 2010-12-14 5 G 0 2856 D 824092 D Common Stock 2011-01-18 5 G 0 689 D 823403 D Common Stock 2011-02-07 5 J 0 68909 0.00 A 884312 D Common Stock 2011-02-07 5 J 0 15444 0.00 A 899756 D Common Stock 2011-02-07 5 J 0 15444 0.00 A 915200 D Common Stock 2011-03-24 5 G 0 13868 D 885332 D Common Stock 2011-03-24 5 G 0 27736 D 857596 D Common Stock 2011-07-01 5 J 0 9248 0.00 A 841575 D Common Stock 2011-07-01 5 J 0 9248 0.00 A 850823 D Common Stock 2011-02-07 5 J 0 68909 0.00 D 1211740 I By LLC Common Stock 2011-02-07 5 G 0 46165 0.00 D 1165575 I By LLC Common Stock 2011-02-07 5 G 0 46165 0.00 D 1119410 I By LLC Common Stock 2011-02-07 5 G 0 46165 0.00 A 85656 I By GRAT Common Stock 2011-02-07 5 J 0 15444 0.00 D 70212 I By GRAT Common Stock 2011-07-01 5 J 0 9248 0.00 D 60964 I By GRAT Common Stock 2011-02-07 5 G 0 46165 0.00 A 85656 I By Spouse's GRAT Common Stock 2011-02-07 5 J 0 15444 0.00 D 70212 I By Spouse's GRAT Common Stock 2011-07-01 5 J 0 9248 0.00 D 60964 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 2011-10-13