Belk (BLKIA) Form 4 BELK / H W MCKAY BELK ownership change

SEC Form 4

FORM 4

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
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

BELK H W MCKAY

(Last) (First) (Middle)

C/O BELK, INC.

2801 WEST TYVOLA ROAD

(Street)

CHARLOTTE NC 28217-4500

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
BELK INC [ NONE ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	X	10% Owner
	Officer (give title below)		Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
11/30/2015

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	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	11/30/2015		J		5,998(1)	A	$0.00	220,086(2)	D
Class A Common Stock								144,587(3)	I	Trustee GRAT #1
Class A Common Stock								75,232(4)	I	Trustee GRAT #2
Class A Common Stock								2,798(5)	I	Spouse
Class A Common Stock								97,130(6)	I	Trustee
Class A Common Stock								97,130(7)	I	Trustee
Class A Common Stock								97,130(8)	I	Trustee
Class A Common Stock								97,130(9)	I	Trustee
Class A Common Stock								97,130(10)	I	Trustee
Class A Common Stock	11/30/2015		J		407,923(11)	A	$0.00	810,207(12)	I	Trustee
Class A Common Stock								149,527(13)	I	Tres Casas Lodging, LLC
Class A Common Stock								23,750(14)	I	Trustee, Family Wealth Preservation Trust
Class A Common Stock								1,221,842(15)	I	Brothers Investment Company
Class A Common Stock								444,212(16)	I	Milburn Investment Company
Class A Common Stock								228,016(17)	I	Trustee
Class B Common Stock								5,412(18)	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 (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	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 (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (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: 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

Explanation of Responses:

1. 5,998 shares of Class A common stock were received by Reporting Person as a distribution from Katherine McKay Belk 2012 Grantor Retained Annuity Trust dated July 24, 2012.

2. 220,086 shares of Class A common stock are held in Reporting Person's name and/or Reporting Person's grantor trust.

3. 144,587 shares of Class A common stock are held in a Grantor Retained Annuity Trust dated June 16, 2006. Reporting Person is the Trustee.

4. 75,232 shares of Class A common stock are held in a 2010 Grantor Retained Annuity Trust. Reporting Person is the Trustee.

5. 2,798 shares of Class A common stock are held by Reporting Person's spouse.

6. 97,130 shares of Class A common stock are held by Reporting Person's child's trust. Voting and investment power is shared by the Trustees.

7. 97,130 shares of Class A common stock are held by Reporting Person's child's trust. Voting and investment power is shared by the Trustees.

8. 97,130 shares of Class A common stock are held by Reporting Person's child's trust. Voting and investment power is shared by the Trustees.

9. 97,130 shares of Class A common stock are held by Reporting Person's child's trust. Voting and investment power is shared by the Trustees.

10. 97,130 shares of Class A common stock are held by Reporting Person's child's trust. Voting and investment power is shared by the Trustees.

11. 407,923 shares of Class A common stock were received by the Trustees of Katherine McKay Belk Irrevocable Trust dated November 6, 2000, from the Grantor.

12. 810,207 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.

13. 149,527 shares of Class A common stock are held by Tres Casas Lodging, LLC. The members share voting and investment power.

14. 23,750 shares of Class A common stock are held by The Katherine McKay Belk FWP Trust f/b/o H.W. McKay Belk Descendants dated June 3, 2015. Reporting Person is the Trustee.

15. 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.

16. 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.

17. 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. 5,412 shares of Class B common stock are held in Reporting Person's name and/or Reporting Person's grantor trust.

Remarks:

	H.W. McKay Belk by Holly C. Williamson, POA	12/02/2015
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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