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