0001209191-15-060812.txt : 20150714 0001209191-15-060812.hdr.sgml : 20150714 20150714171227 ACCESSION NUMBER: 0001209191-15-060812 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150624 FILED AS OF DATE: 20150714 DATE AS OF CHANGE: 20150714 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BELK THOMAS M JR CENTRAL INDEX KEY: 0001247020 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26207 FILM NUMBER: 15987862 MAIL ADDRESS: STREET 1: 2801 WEST TYVOLA RD CITY: CHARLOTTE STATE: NC ZIP: 282174500 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-06-24 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 654411 D Class A Common Stock 154890 I Trustee GRAT #1 Class A Common Stock 142304 I Trustee GRAT #2 Class A Common Stock 35201 I Spouse Class A Common Stock 14761 I Custodian Class A Common Stock 2015-07-10 4 J 0 125 0.00 A 147527 I Trustee Class A Common Stock 2015-07-10 4 J 0 125 0.00 A 144566 I Trustee Class A Common Stock 2015-07-10 4 J 0 125 0.00 A 143515 I Trustee Class A Common Stock 2015-07-10 4 J 0 125 0.00 A 124210 I Trustee Class A Common Stock 484684 I Trustee Class A Common Stock 183825 I Trusts, spouse and child are trustees Class A Common Stock 2015-06-24 4 G 0 2250 0.00 A 2250 I Trustee, Family Wealth Preservation Trust Class A Common Stock 2015-06-24 4 P 0 21500 0.00 A 23750 I Trustee, Family Wealth Preservation Trust Class A Common Stock 1221842 I Brothers Investment Company Class A Common Stock 444212 I Milburn Investment Company Class A Common Stock 228016 I Trustee Class B Common Stock 40177 D Class B Common Stock 312 I Custodian Class B Common Stock 1720 I Trustee Class B Common Stock 4681 I Trustee Class B Common Stock 5732 I Trustee Class B Common Stock 25037 I Trustee 654,411 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. 154,890 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. 142,304 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. 35,201 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. 14,761 shares of Class A common stock are held by Reporting Person as custodian of his minor child. 125 shares of Class A common stock were received 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. 147,527 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. 125 shares of Class A common stock were received 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. 144,566 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. 125 shares of Class A common stock were received by Katherine McKay Belk Irrevocable Trust dated August 29, 2012. Voting and investment power is shared by Katherine McKay Belk, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees. 143,515 shares of Class A common stock are held by Katherine McKay Belk Irrevocable Trust dated August 29, 2012. Voting and investment power is shared by Katherine McKay Belk, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees. 125 shares of Class A common stock were received by Margaret Elizabeth Belk Irrevocable Trust dated March 27, 2015. Voting and investment power is shared by Margaret Elizabeth Belk, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees. 124,210 shares of Class A common stock are held by Margaret Elizabeth Belk Irrevocable Trust dated March 27, 2015. Voting and investment power is shared by Margaret Elizabeth Belk, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees. 484,684 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. 36,765 shares of Class A common stock are held by each of the following trusts: Thomas M. Belk, Jr. & Sarah F. Belk Family Wealth Preservation Trust dated November 28, 2012, f/b/o Adelaide Lucinda Fortune Belk; Thomas M. Belk, Jr. & Sarah F. Belk Family Wealth Preservation Trust dated November 28, 2012, f/b/o Thomas Milburn Belk, III; Thomas M. Belk, Jr. & Sarah F. Belk Family Wealth Preservation Trust dated November 28, 2012, f/b/o Katherine Whitner Belk; Thomas M. Belk, Jr. & Sarah F. Belk Family Wealth Preservation Trust dated November 28, 2012, f/b/o Margaret Elizabeth Belk; and Thomas M. Belk, Jr. & Sarah F. Belk Family Wealth Preservation Trust dated November 28, 2012, f/b/o Louisa Alexandra Belk. Sarah F. Belk, Reporting Person's wife, and the child that is beneficiary of the trust are trustees of each trust. 2,250 shares of Class A common stock were received by The Katherine McKay Belk FWP Trust f/b/o Thomas M. Belk, Jr. Descendants dated June 3, 2015. Reporting Person is the Trustee. 2,250 shares of Class A common stock are held by The Katherine McKay Belk FWP Trust f/b/o Thomas M. Belk, Jr. Descendants dated June 3, 2015. Reporting Person is the Trustee. 21,500 shares of Class A common stock were purchased by The Katherine McKay Belk FWP Trust f/b/o Thomas M. Belk, Jr. Descendants dated June 3, 2015. Reporting Person is the Trustee. 23,750 shares of Class A common stock are held by The Katherine McKay Belk FWP Trust f/b/o Thomas M. Belk, Jr. Descendants dated June 3, 2015. Reporting Person is the Trustee. 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. 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. 228,016 Class A shares held in a trust established by the Will of W.H. Belk for the benefit of Thomas M. Belk. Sarah Belk Gambrell, Katherine Belk Morris, Thomas M. Belk, Jr., H.W. McKay Belk and John R. Belk, the trustees, share voting and investment power. 18,552 shares of Class B 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. 21,625 of the shares from the Belk, Inc. Executive Long Term Incentive Compensation Plan XV are not payable to the Reporting Person until 2016. 312 shares of Class B common stock are held by Reporting Person as custodian of his minor child. 1,720 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. 4,681 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. 5,732 shares of Class B common stock are held by Katherine McKay Belk Irrevocable Trust dated August 29, 2012. Voting and investment power is shared by Katherine McKay Belk, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees. 25,037 shares of Class B common stock are held by Margaret Elizabeth Belk Irrevocable Trust dated March 27, 2015. Voting and investment power is shared by Margaret Elizabeth Belk, Thomas M. Belk, Jr. and Sarah F. Belk, the trustees. Thomas M. Belk, Jr. by Holly C. Williamson, POA 2015-07-14