Sec Form 4 Filing - Belk Claudia W @ BELK INC - 2015-05-29

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Belk Claudia W
2. Issuer Name and Ticker or Trading Symbol
BELK INC [ NONE]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
2801 WEST TYVOLA ROAD
3. Date of Earliest Transaction (MM/DD/YY)
05/29/2015
(Street)
CHARLOTTE, NC28217
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 614,582 ( 1 ) I Trust (1976)
Class A Common Stock 21,519 ( 2 ) I QTIP GST Exempt Marital Trust
Class A Common Stock 05/29/2015 J 713,328 ( 3 ) D $ 0 618,433 ( 4 ) I QTIP GST Non-Exempt Marital Trust
Class A Common Stock 05/29/2015 G 46,429 ( 5 ) A $ 0 46,429 ( 6 ) I 2015 GST Exempt Family Wealth Preservation Trust
Class A Common Stock 05/29/2015 P 417,857 ( 7 ) A $ 56 ( 7 ) 464,286 ( 8 ) I 2015 GST Exempt Family Wealth Preservation Trust
Class A Common Stock 05/29/2015 P 247,792 ( 9 ) A $ 56 ( 9 ) 247,792 ( 10 ) I 2015 GST Non Exempt Family Wealth Preservation Trust
Class A Common Stock 1,221,842 ( 11 ) I Brothers Investment Company
Class A Common Stock 2,079,910 ( 12 ) I Montgomery Investment Company
Class A Common Stock 05/29/2015 J 713,328 ( 13 ) A $ 0 713,336 ( 14 ) D
Class A Common Stock 05/29/2015 G 47,679 ( 5 ) ( 15 ) D $ 0 665,657 ( 16 ) D
Class A Common Stock 05/29/2015 S 665,649 ( 17 ) ( 18 ) D $ 56 ( 17 ) ( 18 ) 8 ( 19 ) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Belk Claudia W
2801 WEST TYVOLA ROAD
CHARLOTTE, NC28217
X
Signatures
Claudia W. Belk by Holly C. Williamson, POA 06/02/2015
Signature of Reporting Person Date
Explanation of Responses:
( 1 )614,582 shares of Class A common stock are held by Bessemer Trust Company, N.A., Susan N Jamison and Katherine Belk Morris, Co-Trustees U/A dated 12/29/76 with John M. Belk f/b/o Claudia W. Belk. Voting and investment power is vested in Wells Fargo Bank, N.A., the trustee.
( 2 )21,519 shares of Class A common stock are held by John M. Belk QTIP GST Exempt Marital Trust Bessemer Trust Company, N.A., Susan N. Jamison and Katherine B. Morris, Co-Trustees. The Co-Trustees share voting and investment power.
( 3 )713,328 shares of Class A common stock were distributed by the John M. Belk QTIP GST Non-Exempt Marital Trust Bessemer Trust Company, N.A., Susan N. Jamison and Katherine B. Morris, Co-Trustees to the Reporting Person.
( 4 )618,433 shares of Class A common stock are held by John M. Belk QTIP GST Non-Exempt Marital Trust Bessemer Trust Company, N.A., Susan N. Jamison and Katherine B. Morris, Co-Trustees. The Co-Trustees share voting and investment power.
( 5 )46,429 shares of Class A common stock were gifted by Reporting Person to the Claudia Watkins Belk 2015 GST Exempt Family Wealth Preservation Trust dated May 27, 2015. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees.
( 6 )46,429 shares of Class A common stock are held by Claudia Watkins Belk 2015 GST Exempt Family Wealth Preservation Trust dated May 27, 2015. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees. The Co-Trustees share voting and investment power.
( 7 )417,857 shares of Class A common stock were purchased by Claudia Watkins Belk 2015 GST Exempt Family Wealth Preservation Trust dated May 27, 2015 from the Reporting Person at $56.00 per share. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees.
( 8 )464,286 shares of Class A common stock are held by Claudia Watkins Belk 2015 GST Exempt Family Wealth Preservation Trust dated May 27, 2015. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees. The Co-Trustees share voting and investment power.
( 9 )247,792 shares of Class A common stock were purchased by Claudia Watkins Belk 2015 GST Non Exempt Family Wealth Preservation Trust dated May 27, 2015 from the Reporting Person at $56.00 per share. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees.
( 10 )247,792 shares of Class A common stock are held by Claudia Watkins Belk 2015 GST Non Exempt Family Wealth Preservation Trust dated May 27, 2015. Mary Claudia Belk Pilon, Susan N. Jamison and Bessemer Trust Company, N.A. are the co-trustees. The Co-Trustees share voting and investment power.
( 11 )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 Bessemer Trust Company, 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.
( 12 )2,079,910 shares of Class A common stock are held by Montgomery Investment Company, a corporation owned by John M. Belk QTIP GST Non-Exempt Marital Trust Bessemer Trust Company, N.A, Susan N. Jamison and Katherine B. Morris, Co-Trustees ("John M. Belk QTIP GST Non-Exempt Marital Trust") as the majority shareholder and Mary Claudia Belk Irrevocable Trust dated 1/4/94. The co-trustees of John M. Belk QTIP GST Non-Exempt Marital Trust and Claudia W. Belk, trustee of Mary Cladia Belk Irrevocable dated 1/4/94, share voting and investment power.
( 13 )713,328 shares of Class A common stock were received by Reporting Person from the John M. Belk QTIP GST Non-Exempt Marital Trust Bessemer Trust Company, N.A., Susan N. Jamison and Katherine B. Morris, Co-Trustees.
( 14 )713,336 shares of Class A common stock are held in Reporting Person's name and/or Claudia Watkins Belk Grantor Trust dated 2/23/96. Reporting person is the Trustee.
( 15 )1,250 shares of Class A common stock were gifted by Reporting Person to her daughter, son-in-law and grandchildren.
( 16 )665,657 shares of Class A common stock are held in Reporting Person's name and/or Claudia Watkins Belk Grantor Trust dated 2/23/96. Reporting person is the Trustee.
( 17 )417,857 shares of Class A common stock were sold by the Reporting Person to the Claudia Watkins Belk 2015 GST Exempt Family Wealth Preservation Trust dated May 27, 2015 at $56.00 per share.
( 18 )247,792 shares of Class A common stock were sold by the Reporting Person to the Claudia Watkins Belk 2015 GST Non Exempt Family Wealth Preservation Trust dated May 27, 2015 at $56.00 per share.
( 19 )8 shares of Class A common stock are held in Reporting Person's name and/or Claudia Watkins Belk Grantor Trust dated 2/23/96. Reporting person is the Trustee.

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