0001209191-12-059677.txt : 20121228 0001209191-12-059677.hdr.sgml : 20121228 20121228165731 ACCESSION NUMBER: 0001209191-12-059677 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121226 FILED AS OF DATE: 20121228 DATE AS OF CHANGE: 20121228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MORRIS KATHERINE BELK CENTRAL INDEX KEY: 0001249724 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26207 FILM NUMBER: 121291508 MAIL ADDRESS: STREET 1: 2801 WEST TYVOLA ROAD CITY: CHARLOTTE STATE: NC ZIP: 28217 4500 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: 0128 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 X0306 4 2012-12-26 0 0001051771 BELK INC NONE 0001249724 MORRIS KATHERINE BELK C/O BELK, INC. 2801 WEST TYVOLA ROAD CHARLOTTE NC 28217-4500 0 0 1 0 Class A Common Stock 2012-12-26 4 G 0 73500 0.00 D 598558 D Class A Common Stock 329731 I Trustee GRAT dtd 9/8/04 Class A Common Stock 9552 I Trustee GRAT #1 dtd 5/27/08 Class A Common Stock 18161 I Trustee GRAT #2 dtd 5/27/08 Class A Common Stock 27615 I Trustee GRAT #1 dtd 8/30/10 Class A Common Stock 30533 I Trustee GRAT #2 dtd 8/30/10 Class A Common Stock 33435 I Trustee GRAT #3 dtd 8/30/10 Class A Common Stock 34265 I Trustee GRAT #4 dtd 8/30/10 Class A Common Stock 34884 I Trustee GRAT #5 dtd 8/30/10 Class A Common Stock 148368 I Trustee GRAT #1 dtd 11/30/11 Class A Common Stock 35891 I Spouse Class A Common Stock 193478 I Trustee Class A Common Stock 193478 I Trustee Class A Common Stock 193476 I Trustee Class A Common Stock 537517 I Trustee Class A Common Stock 2012-12-26 4 G 0 73500 0.00 A 73500 I Trusts, spouse is a trustee Class A Common Stock 444212 I Milburn Investment Company Class A Common Stock 1221842 I Brothers Investment Company 73,500 shares of Class A common stock were gifted by Reporting Person to her children. 598,558 shares of Class A common stock are held in Reporting Person's name and/or Katherine Whitner McKay Belk Morris, Trustee U/A dated December 28, 1993, Reporting Person's grantor trust. 329,731 shares of Class A common stock are held by Katherine B. Morris Grantor Retained Annuity Trust dated September 8, 2004. Reporting Person is the Trustee. 9,552 shares of Class A common stock are held by Katherine Belk Morris 2008 Grantor Retained Annuity Trust Number One dated May 27, 2008. Reporting Person is the Trustee. 18,161 shares of Class A common stock are held by Katherine Belk Morris 2008 Grantor Retained Annuity Trust Number Two dated May 27, 2008. Reporting Person is the Trustee. 27,615 shares of Class A common stock are held Katherine Belk Morris 2010 Grantor Retained Annuity Trust Number One dated August 30, 2010. Reporting Person is the Trustee. 30,533 shares of Class A common stock are held Katherine Belk Morris 2010 Grantor Retained Annuity Trust Number Two dated August 30, 2010. Reporting Person is the Trustee. 33,435 shares of Class A common stock are held Katherine Belk Morris 2010 Grantor Retained Annuity Trust Number Three dated August 30, 2010. Reporting Person is the Trustee. 34,265 shares of Class A common stock are held Katherine Belk Morris 2010 Grantor Retained Annuity Trust Number Four dated August 30, 2010. Reporting Person is the Trustee. 34,884 shares of Class A common stock are held Katherine Belk Morris 2010 Grantor Retained Annuity Trust Number Five dated August 30, 2010. Reporting Person is the Trustee. 148,368 shares of Class A common stock are held by Katherine Belk Morris 2011 Grantor Retained Annuity Trust Number One dated Nov. 30, 2011. Reporting Person is the Trustee. 35,891 shares of Class A common stock are held by Reporting Person's spouse, Charles Walker Morris and/or Charles Walker Morris Revocable Trust dated September 8, 2004, his grantor trust. 193,478 shares of Class A common stock are held by Miss Katherine Belk Morris Irrevocable Trust dated January 10, 2003. Voting and investment power is vested in Katherine Belk Morris and Charles Walker Morris, the Trustees. 193,478 shares are Class A common stock are held by Charles Walker Morris, Jr. Irrevocable Trust dated May 25, 2005. Voting and investment power is vested in Katherine Belk Morris and Charles Walker Morris, the Trustees. 193,476 shares of Class A common stock are held by Rebecca Price Morris Irrevocable Trust dated January 6, 2009. Voting and investment power is vested in Katherine Belk Morris and Charles Walker Morris, the Trustees. 537,517 shares of Class A common stock are held by Katherine McKay Belk Irrevocable Trust dated November 6, 2000. 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, the Trustees. 24,500 shares of Class A common stock were received and are held by each of the following trusts: Katherine Belk Morris Family Wealth Preservation Trust dated December 21, 2012, f/b/o Katherine Morris Stanley; Katherine Belk Morris Family Wealth Preservation Trust dated December 21, 2012, f/b/o Charles Walker Morris, Jr.; and Katherine Belk Morris Family Wealth Preservation Trust dated December 21, 2012, f/b/o Rebecca Price Morris. Charles Walker Morris, a trustee of each trust, is Reporting Person's husband. 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. 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. Katherine Belk Morris by Betty F. Buchanan, POA 2012-12-28