0001209191-12-048795.txt : 20121009
0001209191-12-048795.hdr.sgml : 20121008
20121009182830
ACCESSION NUMBER: 0001209191-12-048795
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120902
FILED AS OF DATE: 20121009
DATE AS OF CHANGE: 20121009
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BROTMAN JEFFREY H
CENTRAL INDEX KEY: 0001184491
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20355
FILM NUMBER: 121136146
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: 0902
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
X0306
5
2012-09-02
0
0
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
2011-11-14
5
G
0
25000
D
134893
D
Common Stock
2011-12-30
5
G
0
8500
D
86495
D
Common Stock
626703.04
I
1984 Brotman Family Trust
Common Stock
20
I
Justin Brotman
Personal gift.
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
2012-10-09