-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, A6Cq1XO6feHIRX3QHRWKQeRecYLT0e6k5wuru8O2d/CdWCuvm3YrXLP5kDSBEoOq FvArIfsZ5KVF2zr86j7xRg== 0001179110-04-007957.txt : 20040413 0001179110-04-007957.hdr.sgml : 20040413 20040413174301 ACCESSION NUMBER: 0001179110-04-007957 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040412 FILED AS OF DATE: 20040413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WHITE RICHARD O CENTRAL INDEX KEY: 0001239108 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 04731297 BUSINESS ADDRESS: STREET 1: ROSS STORES INC STREET 2: 8333 CENTRAL AVENUE CITY: NEWARK STATE: CA ZIP: 94560 BUSINESS PHONE: 5105054400 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: 8333 CENTRAL AVE CITY: NEWARK STATE: CA ZIP: 94560-3433 BUSINESS PHONE: 5105054841 MAIL ADDRESS: STREET 1: 8333 CENTRAL AVENUE CITY: NEWARK STATE: CA ZIP: 94560-3433 4 1 edgar.xml FORM 4 - X0201 4 2004-04-12 0 0000745732 ROSS STORES INC ROST 0001239108 WHITE RICHARD O 8333 CENTRAL AVE NEWARK CA 94560 0 1 0 0 Senior VP COMMON STOCK 2004-04-12 4 M 0 50000 11.43 A 182062 D COMMON STOCK 2004-04-12 4 S 0 50000 30.80 D 132062 D NON QUALIFIED STOCK OPTION 11.43 2004-04-12 4 M 0 50000 0.00 D 2011-07-18 COMMON STOCK 50000 190000 D Option is exercisable as it vests in monthly increments beginning the first full month from date of grant with a vested ratio of 1/72 for the first year, 2/72 for the second year and 3/27 for the third year. The Securities Beneficially Owned on Table II reflect a 2:1 stock split effected by a stock dividend paid on 12/18/03 to all holders of record on 12/2/03. /s/ Richard White Senior Vice President and CIO 2004-04-12 -----END PRIVACY-ENHANCED MESSAGE-----