SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
BELK KATHERINE MCKAY

(Last) (First) (Middle)
C/O BELK, INC.
2801 WEST TYVOLA ROAD

(Street)
CHARLOTTE NC 28217-4500

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BELK INC [ NONE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
04/13/2015
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 04/13/2015 J 175,413(1)(2)(3) A $0.00 1,106,538(4) D
Class A Common Stock 04/13/2015 J 9,112(1) D $0.00 307,330(5) I Trustee, Charitable Remainder Unitrust
Class A Common Stock 04/13/2015 J 76,570(2) D $0.00 81,646(6) I Trustee, GRAT #10
Class A Common Stock 04/13/2015 J 89,731(3) D $0.00 46,801(7) I Trustee, 2012 GRAT
Class A Common Stock 198,505(8) I Trustee, 2013 GRAT
Class A Common Stock 311,851(9) I Trustee, 2014 GRAT
Class A Common Stock 04/13/2015 J 96,813(10) D $0.00 276,881(11) I Custodian
Class A Common Stock 100(12) I Spouse (deceased)
Class A Common Stock 1,221,842(13) I Brothers Investment Company
Class A Common Stock 444,212(14) I Milburn Investment Company
Class B Common Stock 04/13/2015 J 24,725(15) D $0.00 24,725(16) I Custodian
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. 9,112 shares of Class A common stock were distributed by Katherine McKay Belk Cook Charitable Remainder Unitrust dated 11/1/02 to Reporting Person.
2. 76,570 shares of Class A common stock were distributed by Katherine McKay Belk Grantor Retained Annuity Trust Number Ten dated April 26, 2010 to Reporting Person.
3. 89,731 shares of Class A common stock were distributed by Katherine McKay Belk 2012 Grantor Retained Annuity Trust dated July 24, 2012 to Reporting Person.
4. 1,106,538 shares of Class A common stock are held in Reporting Person's name and/or Katherine McKay Belk Trust dated November 6, 2000, Reporting Person's grantor trust. Voting and investment power of the grantor trust is shared by Katherine McKay Belk, Thomas M. Belk, Jr., H.W. McKay Belk, John R. Belk and Katherine Belk Morris.
5. 307,330 shares of Class A common stock are held by Katherine McKay Belk Cook Charitable Remainder Unitrust. Reporting Person is the Trustee.
6. 81,646 shares of Class A common stock are held by Katherine McKay Belk Grantor Retained Annuity Trust Number Ten dated April 26, 2010. Reporting Person is the Trustee.
7. 46,801 shares of Class A common stock are held by Katherine McKay Belk 2012 Grantor Retained Annuity Trust dated July 24, 2012. Reporting Person is the Trustee.
8. 198,505 shares of Class A common stock are held by Katherine McKay Belk 2013 Grantor Retained Annuity Trust dated May 30, 2013. Reporting Person is the Trustee.
9. 311,851 shares of Class A common stock are held by Katherine McKay Belk 2014 Grantor Retained Annuity Trust dated April 23, 2014. Reporting Person is the Trustee.
10. 96,813 shares of Class A common stock were transferred to a grandchild who turned 21. Reporting Person held the stock as custodian.
11. 276,881 shares of Class A common stock are held by Reporting Person as custodian of her minor grandchildren.
12. 100 shares of Class A common stock are held in the name of Reporting Person's husband (deceased), James Fielder Cook.
13. 1,221,842 shares of Class A common stock are held by Brothers Investment Company, which corporation is equally owned by John M. Belk QTIP GST Non-Exempt Marital Trust, Wells Fargo Bank, N.A., Susan N. Jamison and Katherine B. Morris, Co-Trustees ("John M. Belk QTIP GST Non-Exempt Marital Trust") and the heirs of Thomas M. Belk. The co-trustees of John M. Belk QTIP GST Non-Exempt Marital Trust and Katherine McKay Belk, Thomas M. Belk, Jr., H.W. McKay Belk, John R. Belk and Katherine Belk Morris, heirs of Thomas M. Belk, share voting and investment power.
14. 444,212 shares of Class A common stock are held by Milburn Investment Company. Voting and investment power is shared by Katherine McKay Belk, Thomas M. Belk, Jr., H.W. McKay Belk, John R. Belk and Katherine Belk Morris.
15. 24,725 shares of Class B common stock were transferred to a grandchild who turned 21. Reporting Person held the stock as custodian.
16. 24,725 shares of Class B common stock are held by Reporting Person as custodian of her minor grandchildren.
Remarks:
Katherine McKay Belk by Holly C. Williamson, POA 04/15/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.