0001127602-18-002950.txt : 20180130 0001127602-18-002950.hdr.sgml : 20180130 20180130152847 ACCESSION NUMBER: 0001127602-18-002950 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20180130 DATE AS OF CHANGE: 20180130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHAMBERLAIN JEFFREY G. CENTRAL INDEX KEY: 0001509192 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00981 FILM NUMBER: 18558815 MAIL ADDRESS: STREET 1: P.O. BOX 407 CITY: LAKELAND STATE: FL ZIP: 33802 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PUBLIX SUPER MARKETS INC CENTRAL INDEX KEY: 0000081061 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 590324412 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3300 PUBLIX CORPORATE PARKWAY CITY: LAKELAND STATE: FL ZIP: 33811 BUSINESS PHONE: 863-688-1188 MAIL ADDRESS: STREET 1: 3300 PUBLIX CORPORATE PARKWAY CITY: LAKELAND STATE: FL ZIP: 33811 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2017-12-31 0 0 0000081061 PUBLIX SUPER MARKETS INC NONE 0001509192 CHAMBERLAIN JEFFREY G. P.O. BOX 407 LAKELAND FL 33802-0407 1 Senior Vice President Common Stock 2017-01-04 5 G 0 1000 40.15 D 23632 I By Spouse's Trust Common Stock 2017-01-05 5 G 0 1600 40.15 D 20400 D Common Stock 2017-06-27 5 G 0 1050 39.15 D 19350 D Common Stock 1302.9438 I By 401(K) Common Stock 75474.4495 I By ESOP SERP Stock 2017-03-01 5 A 0 207.941 40.90 A Common Stock 207.941 496.5984 I By SERP Acquired under the Publix Super Markets, Inc. 401(k) SMART Plan. Transaction exempt under rule 16b-3(c). Acquired under the Publix Super Markets, Inc. Employee Stock Ownership Plan. Transaction exempt under rule 16b-3(c). Each share of SERP stock is the economic equivalent of one share of common stock. The shares of SERP stock become payable in common stock upon the reporting person's termination of employment in accordance with the Publix Super Markets, Inc. Supplemental Executive Retirement Plan. /s/ Monica Allman, POA on file for Jeffrey G. Chamberlain 2018-01-30