-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, CeRa5If++gDT3AOzVNH5qUkvogoKs3R5q7HH60M083mKteQc6lzhizHC2jy8KoNo ddLe2UbIh78TarCeaQ8POA== 0001209191-09-059186.txt : 20091231 0001209191-09-059186.hdr.sgml : 20091231 20091231153550 ACCESSION NUMBER: 0001209191-09-059186 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091231 FILED AS OF DATE: 20091231 DATE AS OF CHANGE: 20091231 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GAMBRELL SARAH BELK CENTRAL INDEX KEY: 0001061636 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26207 FILM NUMBER: 091268592 MAIL ADDRESS: STREET 1: 300 CHEROKEE RD CITY: CHARLOTTE STATE: NC ZIP: 28207 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BELK INC CENTRAL INDEX KEY: 0001051771 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DEPARTMENT STORES [5311] IRS NUMBER: 562058574 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2801 WEST TYVOLA ROAD CITY: CHARLOTTE STATE: NC ZIP: 28217-4500 BUSINESS PHONE: 7043571000 MAIL ADDRESS: STREET 1: 2801 WEST TYVOLA ROAD CITY: CHARLOTTE STATE: NC ZIP: 28217-4500 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-12-31 0 0001051771 BELK INC NONE 0001061636 GAMBRELL SARAH BELK C/O BELK, INC. 2801 WEST TYVOLA ROAD CHARLOTTE NC 28217 0 0 1 0 Class A Common Stock 2009-12-31 4 G 0 17455 0.00 D 7106105 D Class A Common Stock 1140080 I Trusts u/w W.H. Belk Class A Common Stock 1436385 I Trusts u/w Mary I. Belk 17,455 shares of Class A common stock were gifted by Reporting Person. 7,106,105 shares of Class A common stock are held in the name of Sarah Belk Gambrell, as Trustee of the Sarah Belk Gambrell Restated 1999 Revocable Trust, Reporting Person's grantor trust. 1,140,080 shares of Class A common stock are held in several trusts established by the Will of W.H. Belk for the benefit of his children. Voting and investment power of the trusts for John M. Belk and Thomas M. Belk is shared by John M. Belk, Sarah Belk Gambrell and Henderson Belk. Voting and investment power of the trusts for Sarah Belk Gambrell, W.H. Belk, Jr. and Henderson Belk is shared by John M. Belk, Sarah Belk Gambrell, Henderson Belk and Irwin Belk. 1,436,385 shares of Class A common stock are held in several trusts established by the Will of Mary I. Belk for the benefit of her children. Voting and investment power of the trusts for John M. Belk and Thomas M. Belk is shared by John M. Belk, Sarah Belk Gambrell and Henderson Belk. Voting and investment power of the trusts for Sarah Belk Gambrell, W.H. Belk, Jr. and Henderson Belk is shared by John M. Belk, Sarah Belk Gambrell, Henderson Belk and Irwin Belk. Sarah Belk Gambrell by Betty F. Buchanan, P.A. 2009-12-31 -----END PRIVACY-ENHANCED MESSAGE-----