Annual Statement of Changes in Beneficial Ownership (5)
07 Février 2022 - 8:56PM
Edgar (US Regulatory)
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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).
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Form 3 Holdings Reported
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Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB Number:
3235-0362
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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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1. Name and Address of Reporting Person
*
MACKENZIE KIRK A | 2. Issuer Name and Ticker or Trading SymbolWINMARK CORP [WINA] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
605 HIGHWAY 169 N, SUITE 400 | 3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) 12/25/2021 |
(Street)
MINNEAPOLIS, MN 55441
(City)
(State)
(Zip)
| 4. If Amendment, Date Original Filed(MM/DD/YYYY) | 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form Filed by One Reporting Person
___ Form Filed by More than One Reporting Person
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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. Trans. Date | 2A. Deemed Execution Date, if any | 3. Trans. 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) |
Amount | (A) or (D) | Price |
Common Stock | 12/14/2021 | | G | 1600 | D | $0 | 32503 | I | Kirk A MacKenzie Revocable Trust |
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 Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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/YYYY) | 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 at End of Issuer's Fiscal Year (Instr. 4) | 10. Ownership Form of Derivative Security: 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 |
Non-Employee Director Stock Option (right to buy) | $51.17 | | | | | | 6/1/2013 (1) | 6/1/2022 | Common Stock | 1000 | | 1000 | D | |
Non-Employee Director Stock Option (right to buy) | $55.72 | | | | | | 12/13/2013 (1) | 12/13/2022 | Common Stock | 1000 | | 1000 | D | |
Non-Employee Director Stock Option (right to buy) | $59.77 | | | | | | 6/1/2014 (1) | 6/1/2023 | Common Stock | 1000 | | 1000 | D | |
Non-Employee Director Stock Option (right to buy) | $82.72 | | | | | | 12/16/2014 (1) | 12/16/2023 | Common Stock | 1000 | | 1000 | D | |
Non-Employee Director Stock Option (right to buy) | $66.29 | | | | | | 6/1/2015 (1) | 6/1/2024 | Common Stock | 1000 | | 1000 | D | |
Non-Employee Director Stock Option (right to buy) | $80.32 | | | | | | 12/15/2015 (1) | 12/15/2024 | Common Stock | 1000 | | 1000 | D | |
Non-Employee Director Stock Option (right to buy) | $91.93 | | | | | | 6/1/2016 (1) | 6/1/2025 | Common Stock | 800 | | 800 | D | |
Non-Employee Director Stock Option (right to buy) | $90.99 | | | | | | 12/14/2016 (1) | 12/14/2025 | Common Stock | 800 | | 800 | D | |
Non-Employee Director Stock Option (right to buy) | $98.25 | | | | | | 6/1/2017 (1) | 6/1/2026 | Common Stock | 800 | | 800 | D | |
Non-Employee Director Stock Option (right to buy) | $125.50 | | | | | | 12/12/2017 (1) | 12/12/2026 | Common Stock | 800 | | 800 | D | |
Non-Employee Director Stock Option (right to buy) | $122.50 | | | | | | 6/1/2018 (1) | 6/1/2027 | Common Stock | 800 | | 800 | D | |
Non-Employee Director Stock Option (right to buy) | $134.25 | | | | | | 12/11/2018 (1) | 12/11/2027 | Common Stock | 800 | | 800 | D | |
Non-Employee Director Stock Option (right to buy) | $143.20 | | | | | | 6/1/2019 (1) | 6/1/2028 | Common Stock | 800 | | 800 | D | |
Non-Employee Director Stock Option (right to buy) | $156 | | | | | | 12/11/2019 (1) | 12/11/2028 | Common Stock | 800 | | 800 | D | |
Non-Employee Director Stock Option (right to buy) | $164.84 | | | | | | 6/1/2020 (1) | 6/1/2029 | Common Stock | 750 | | 750 | D | |
Non-Employee Director Stock Option (right to buy) | $176.20 | | | | | | 12/16/2020 (1) | 12/16/2029 | Common Stock | 750 | | 750 | D | |
Non-Employee Director Stock Option (right to buy) | $143.87 | | | | | | 6/1/2021 (1) | 6/1/2030 | Common Stock | 750 | | 750 | D | |
Non-Employee Director Stock Option (right to buy) | $183.87 | | | | | | 12/14/2021 (1) | 12/14/2030 | Common Stock | 750 | | 750 | D | |
Non-Employee Director Stock Option (right to buy) | $195.82 | | | | | | 6/1/2022 (1) | 6/1/2031 | Common Stock | 750 | | 750 | D | |
Non-Employee Director Stock Option (right to buy) | $261.32 | | | | | | 12/13/2022 (1) | 12/13/2031 | Common Stock | 750 | | 750 | D | |
Explanation of Responses: |
(1) | 25% per year for four years |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
MACKENZIE KIRK A 605 HIGHWAY 169 N SUITE 400 MINNEAPOLIS, MN 55441 | X |
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Signatures
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/s/ Kirk A. MacKenzie | | 2/7/2022 |
**Signature of Reporting Person | Date |
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