0001209191-11-052506.txt : 20111024 0001209191-11-052506.hdr.sgml : 20111024 20111024181438 ACCESSION NUMBER: 0001209191-11-052506 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111022 FILED AS OF DATE: 20111024 DATE AS OF CHANGE: 20111024 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: 111155213 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 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-10-22 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 2011-10-22 4 F 0 2430 85.30 D 114753 D Common Stock 2011-10-22 4 F 0 2430 85.30 D 112323 D Common Stock 2011-10-22 4 F 0 2430 85.30 D 109893 D Common Stock 736703.04 I 1984 Brotman Family Trust Common Stock 20 I Justin Brotman 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 2011-10-24