0001209191-12-048801.txt : 20121009 0001209191-12-048801.hdr.sgml : 20121008 20121009183304 ACCESSION NUMBER: 0001209191-12-048801 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: SINEGAL JAMES D CENTRAL INDEX KEY: 0001184948 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20355 FILM NUMBER: 121136160 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: 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 0001184948 SINEGAL JAMES D 999 LAKE DRIVE ISSAQUAH WA 98027 1 0 0 0 Common Stock 2011-10-19 5 G 0 10204 D 824170 D Common Stock 2011-12-09 5 G 0 1540 D 812721 D Common Stock 2011-12-14 5 G 0 2440 D 802281 D Common Stock 2012-01-17 5 J 0 75518 0.00 A 877799 D Common Stock 2012-01-17 5 J 0 16784 0.00 A 894583 D Common Stock 2012-01-17 5 J 0 16784 0.00 A 911367 D Common Stock 2012-03-21 5 J 0 10103 0.00 A 873470 D Common Stock 2012-03-21 5 J 0 10103 0.00 A 883573 D Common Stock 2012-01-17 5 J 0 75518 0.00 D 1043892 I By LLC Common Stock 2012-01-17 5 G 0 50592 0.00 D 993300 I By LLC Common Stock 2012-01-17 5 G 0 50592 0.00 D 942708 I By LLC Common Stock 2012-01-17 5 G 0 50592 0.00 A 111556 I By GRAT Common Stock 2012-01-17 5 J 0 16784 0.00 D 94772 I By GRAT Common Stock 2012-03-21 5 J 0 10103 0.00 D 84669 I By GRAT Common Stock 2012-01-17 5 G 0 50592 0.00 A 111556 I By Spouse's GRAT Common Stock 2012-01-17 5 J 0 16784 0.00 D 94772 I By Spouse's GRAT Common Stock 2012-03-21 5 J 0 10103 0.00 D 84669 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 2012-10-09