0001140361-17-003208.txt : 20170127 0001140361-17-003208.hdr.sgml : 20170127 20170127165532 ACCESSION NUMBER: 0001140361-17-003208 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160831 FILED AS OF DATE: 20170127 DATE AS OF CHANGE: 20170127 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WEIS MARKETS INC CENTRAL INDEX KEY: 0000105418 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 240755415 STATE OF INCORPORATION: PA FISCAL YEAR END: 1226 BUSINESS ADDRESS: STREET 1: 1000 S SECOND ST STREET 2: PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801 BUSINESS PHONE: 570-286-4571 MAIL ADDRESS: STREET 1: 1000 S SECOND ST STREET 2: PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Weis Colleen Ross CENTRAL INDEX KEY: 0001660465 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05039 FILM NUMBER: 17554438 MAIL ADDRESS: STREET 1: C/O WEIS MARKETS, INC. STREET 2: 1000 SOUTH SECOND STREET, PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801 FORMER NAME: FORMER CONFORMED NAME: Weis Collen Ross DATE OF NAME CHANGE: 20151209 4 1 form4.xml FORM 4 X0306 4 2016-08-31 0000105418 WEIS MARKETS INC WMK 0001660465 Weis Colleen Ross C/O WEIS MARKETS, INC. 1000 SOUTH SECOND STREET, PO BOX 471 SUNBURY PA 17801 true Member of a 10% owner group Common Stock 2016-08-31 5 G 0 1108182 D 0 I By HW Trust Common Stock 2016-08-31 5 G 0 1108182 A 1198744 D Common Stock 49357.5 I By 1976 JHW Trust Not applicable / no consideration. /s/ Colleen Ross Weis 2017-01-27