X0303 4 2010-12-21 0 0001051771 BELK INC NONE 0001247020 BELK THOMAS M JR C/O BELK, INC. 2801 WEST TYVOLA ROAD CHARLOTTE NC 28217-4500 1 1 1 0 Chairman & CEO Class A Common Stock 2010-12-21 4 J 0 192307 0.00 D 624309 D Class A Common Stock 195658 I Trustee GRAT #1 Class A Common Stock 2010-12-21 4 J 0 192307 0.00 A 192307 I Trustee GRAT #2 Class A Common Stock 33995 I Spouse Class A Common Stock 110537 I Custodian Class A Common Stock 140535 I Trustee Class A Common Stock 137574 I Trustee Class A Common Stock 454205 I Trustee Class A Common Stock 1221842 I Brothers Investment Company Class A Common Stock 444212 I Milburn Investment Company Class B Common Stock 936 I Custodian Class B Common Stock 312 I Trustee Class B Common Stock 3273 I Trustee 192,307 shares of Class A common stock were transferred by Reporting Person to Thomas M. Belk, Jr., Grantor Retained Annuity Trust dated 12-17-2010. Reporting Person is the Trustee. 624,309 shares of Class A common stock are held in Reporting Person's name and/or Thomas M. Belk, Jr., Trustee U/A dated 1/18/94, Reporting Person's grantor trust. 195,658 shares of Class A common stock are held by Thomas M. Belk, Jr., Grantor Retained Annuity Trust dated January 27, 2006. Reporting Person is the Trustee. 192,307 shares of Class A common stock are held by Thomas M. Belk, Jr., Grantor Retained Annuity Trust dated 12-17-2010. Reporting Person is the Trustee. 33,995 shares of Class A common stock are held by Reporting Person's spouse, Sarah F. Belk and/or her grantor trust, Sarah Fortune Belk Revocable Trust dated 12-11-07. 110,537 shares of Class A common stock are held by Reporting Person as custodian of his minor children. 140,535 shares of Class A common stock are held by Adelaide Lucinda Fortune Belk Irrevocable Trust dated August 23, 2010. Voting and investment power is shared by Adelaide Lucinda Fortune Belk, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees. 137,574 shares of Class A common stock are held by Thomas M. Belk, III Irrevocable Trust dated 9-7-2010. Voting and investment power is shared by Thomas M. Belk, III, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees. 454,205 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. 1,221,842 shares of Class A common stock are held by Brothers Investment Company, which corporation is equally owned by John M. Belk 1999 Grantor Trust and the heirs of Thomas M. Belk. Voting and investment power is shared by Susan N. Jamison, Katherine Belk Morris and Wachovia Bank National Association, Co-Trustees of the John M. Belk 1999 Grantor 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. 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. 936 shares of Class B common stock are held by Reporting Person as custodian of his minor children. 312 shares of Class B common stock are held by Adelaide Lucinda Fortune Belk Irrevocable Trust dated August 23, 2010. Voting and investment power is shared by Adelaide Lucinda Fortune Belk, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees. 3,273 shares of Class B common stock are held by Thomas M. Belk, III Irrevocable Trust dated 9-7-2010. Voting and investment power is shared by Thomas M. Belk, III, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees. Thomas M. Belk, Jr. by Betty F. Buchanan, POA 2010-12-21