0001209191-17-056703.txt : 20171012
0001209191-17-056703.hdr.sgml : 20171012
20171012114309
ACCESSION NUMBER: 0001209191-17-056703
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170903
FILED AS OF DATE: 20171012
DATE AS OF CHANGE: 20171012
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MOULTON PAUL G
CENTRAL INDEX KEY: 0001184501
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20355
FILM NUMBER: 171134070
MAIL ADDRESS:
STREET 1: 999 LAKE DRIVE
CITY: ISSAQUAH
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
2017-09-03
0
0
0
0000909832
COSTCO WHOLESALE CORP /NEW
COST
0001184501
MOULTON PAUL G
999 LAKE DRIVE
ISSAQUAH
WA
98027
0
1
0
0
Executive VP
Common Stock
2016-11-07
5
G
0
2000
D
3225
I
Moulton Revocable Trust
Common Stock
69105
D
Personal gift.
Deanna K. Nakashima, attorney-in-fact
2017-10-12