0001104659-15-066348.txt : 20150921
0001104659-15-066348.hdr.sgml : 20150921
20150921202912
ACCESSION NUMBER: 0001104659-15-066348
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150917
FILED AS OF DATE: 20150921
DATE AS OF CHANGE: 20150921
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ROSS STORES INC
CENTRAL INDEX KEY: 0000745732
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FAMILY CLOTHING STORES [5651]
IRS NUMBER: 941390387
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 5130 HACIENDA DRIVE
CITY: DUBLIN
STATE: CA
ZIP: 94568
BUSINESS PHONE: 9259654400
MAIL ADDRESS:
STREET 1: 5130 HACIENDA DRIVE
CITY: DUBLIN
STATE: CA
ZIP: 94568
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FASSIO JAMES S
CENTRAL INDEX KEY: 0001238932
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-14678
FILM NUMBER: 151118356
MAIL ADDRESS:
STREET 1: 5130 HACIENDA DRIVE
CITY: DUBLIN
STATE: CA
ZIP: 94568
4
1
a4.xml
4
X0306
4
2015-09-17
0
0000745732
ROSS STORES INC
ROST
0001238932
FASSIO JAMES S
5130 HACIENDA DRIVE
DUBLIN
CA
94568
0
1
0
0
President, Chief Dev. Officer
Common Stock
2015-03-31
5
G
0
E
66
0
D
136574
D
Common Stock
2015-06-30
5
G
0
E
120
0
D
273148
D
Common Stock
2015-03-31
5
G
0
E
66
0
A
252565
I
by Trust A
Common Stock
2015-06-30
5
G
0
E
120
0
A
505250
I
by Trust A
Common Stock
2015-09-17
4
S
0
10055
49.7301
D
495195
I
by Trust A
Common Stock
2015-09-17
4
S
0
50272
49.7301
D
129728
I
by Trust B
The Securities Beneficially Owned reflects a 2:1 stock split effected in the form of a stock dividend paid on 6/11/2015 to all holders of record on 4/22/15.
Securities held in the name of James S. Fassio Revocable Trust.
Securities held in the name of James S. Fassio 2012 Dynasty Irrevocable Trust.
The reporting person contributed ROST common stock to an exchange fund in exchange for shares of the exchange fund in a transaction intended to comply with Rule 10b5-1(c). The ROST common stock was valued at $49.7301 per share for the purposes of determining the number of shares of the exchange fund issued to the reporting person.
Securities Beneficially Owned includes shares acquired pursuant to issuer's employee stock purchase plan in a transaction exempt under Rule 16b-3.
/s/ Ken Jew for James Fassio
2015-09-21