0001179110-12-004970.txt : 20120313 0001179110-12-004970.hdr.sgml : 20120313 20120313204855 ACCESSION NUMBER: 0001179110-12-004970 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120128 FILED AS OF DATE: 20120313 DATE AS OF CHANGE: 20120313 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GARRETT SHARON D CENTRAL INDEX KEY: 0001209517 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 12688741 MAIL ADDRESS: STREET 1: 5995 PLAZA DR CITY: CYPRESS STATE: CA ZIP: 90630 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 - X0304 5 2012-01-28 0 0 0 0000745732 ROSS STORES INC ROST 0001209517 GARRETT SHARON D 4440 ROSEWOOD DR. BUILDING 4 PLEASANTON CA 94588 1 0 0 0 Common Stock 2010-06-02 5 G 0 1458 0.00 D 0 D Common Stock 2010-06-25 5 G 0 1430 0.00 D 0 D Common Stock 2011-05-23 5 G 0 2498 0.00 D 0 D Common Stock 2011-06-20 5 G 0 1428 0.00 D 5978 D Common Stock 2010-06-02 5 G 0 1458 0.00 A 0 I by Trust Common Stock 2010-06-25 5 G 0 1430 0.00 A 0 I by Trust Common Stock 2011-05-23 5 G 0 2498 0.00 A 0 I by Trust Common Stock 2011-06-20 5 G 0 1428 0.00 A 6814 I by Trust Securities held in the name of Sharon D. Garrett Living Trust. Securities acquired/disposed reflect post-stock dividend paid on 12/15/11 to all holders of record on 11/29/11. The Securities Beneficially Owned reflects a 2:1 stock split effected by a stock dividend paid on 12/15/11 to all holders of record on 11/29/11. /s/Mark LeHocky for Sharon Garrett 2012-03-13