-----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, BiKLaD6U4E4VTGtYKTEFcf3DJO1RA8gSruY3mZhKwr3zIeS2e4c9i1Xa404EEccn 0WiFTe5IOUZbAHRysWXd1A== 0001179110-05-005131.txt : 20050308 0001179110-05-005131.hdr.sgml : 20050308 20050308153504 ACCESSION NUMBER: 0001179110-05-005131 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050129 FILED AS OF DATE: 20050308 DATE AS OF CHANGE: 20050308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ORBAN GEORGE CENTRAL INDEX KEY: 0001238943 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 05666744 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: 4440 ROSEWOOD DRIVE CITY: PLEASANTON STATE: CA ZIP: 94588-3050 BUSINESS PHONE: 9259654400 MAIL ADDRESS: STREET 1: 4440 ROSEWOOD DRIVE CITY: PLEASANTON STATE: CA ZIP: 94588-3050 5 1 edgar.xml FORM 5 - X0202 5 2005-01-29 0 0 0 0000745732 ROSS STORES INC ROST 0001238943 ORBAN GEORGE 4440 ROSEWOOD DR. PLEASANTON CA 94588 1 0 0 0 Common Stock 48000 D Common Stock 2004-12-15 5 G 0 1050 0.00 A 29435 I by Daughter Common Stock 2004-12-15 5 G 0 1050 0.00 A 9835 I by Daughter Common Stock 2004-12-15 5 G 0 1050 0.00 A 29435 I by Son Common Stock 2004-12-15 5 G 0 5500 0.00 D 1196691 I by Partnership Transfer to daughter Anna under UGMA, with non-household member as custodian. Transfer to daughter Sophie under UGMA, with non-household member as custodian. Transfer to son under UGMA, with non-household member as custodian. /s/ George P. Orban 2005-02-23 -----END PRIVACY-ENHANCED MESSAGE-----