SEC Form 5
FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL 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). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
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Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
COSTCO WHOLESALE CORP /NEW [ COST ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 09/03/2023 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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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 at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock | 09/27/2018 | P4 | 413(1) | A | (1) | 413 | I | By Family Trust I | |||||||
Common Stock | 12/28/2018 | S4 | 183(2) | D | (2) | 230 | I | By Family Trust I | |||||||
Common Stock | 09/27/2018 | P4 | 416(3) | A | (3) | 416 | I | By Family Trust II | |||||||
Common Stock | 12/28/2018 | S4 | 186(4) | D | (4) | 230 | I | By Family Trust II | |||||||
Common Stock | 09/27/2018 | P4 | 416(5) | A | (5) | 416 | I | By Family Trust III | |||||||
Common Stock | 12/28/2018 | S4 | 186(4) | D | (4) | 230 | I | By Family Trust III | |||||||
Common Stock | 01/07/2022 | P4 | 461(6) | A | (6) | 461 | I | By Family Trust IV | |||||||
Common Stock | 41,803 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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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) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. The amount shown represents 5 separate purchases as follows: 186 shares on September 27, 2018 at $234.03; 63 shares on October 26, 2018 at $218.27; 56 shares on January 28, 2019 at $210.86; 51 shares on June 28, 2019 at $264.36; and 57 shares on April 2, 2020 at $288.79. Such purchases were inadvertently omitted from the reporting person's previously filed Forms 4. |
2. The amount shown represents a sale of 183 shares on December 28, 2018 at $202.38 per share. Such sale was inadvertently omitted from the reporting person's previously filed Forms 4. |
3. The amount shown represents 5 separate purchases as follows: 186 shares on September 27, 2018 at $234.03; 63 shares on October 26, 2018 at $218.27; 59 shares on January 28, 2019 at $210.85; 48 shares on June 28, 2019 at $264.36; and 60 shares on April 2, 2020 at $288.78. Such purchases were inadvertently omitted from the reporting person's previously filed Forms 4. |
4. The amount shown represents 2 separate sales as follows: 183 shares on December 28, 2018 at $202.38; and 3 shares on February 28, 2019 at $217.09 per share. Such sales were inadvertently omitted from the reporting person's previously filed Forms 4. |
5. The amount shown represents 5 separate purchases as follows: 186 shares on September 27, 2018 at $234.03; 63 shares on October 26, 2018 at $218.27; 48 shares on January 28, 2019 at $210.87; 62 shares on June 28, 2019 at $264.34; and 57 shares on April 2, 2020 at $288.79. Such purchases were inadvertently omitted from the reporting person's previously filed Forms 4. |
6. The amount shown represents 3 separate purchases as follows: 307 shares on January 7, 2022 at $536.18; 82 shares on February 10, 2022 at $518.48; and 72 shares on March 14, 2022 at $525.95. Such purchases were inadvertently omitted from the reporting person's previously filed Forms 4. |
Remarks: |
/s/ Alejandro Torres, Attorney-in-Fact | 10/18/2023 | |
** 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |