0001179110-12-004973.txt : 20120313 0001179110-12-004973.hdr.sgml : 20120313 20120313213008 ACCESSION NUMBER: 0001179110-12-004973 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: CALL JOHN G CENTRAL INDEX KEY: 0001238928 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 12688787 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 0001238928 CALL JOHN G 4440 ROSEWOOD DR. PLEASANTON CA 94588 0 1 0 0 Senior VP CFO Common Stock 2011-12-27 5 G 0 1000 0.00 D 66845 D The Securities Beneficially Owned reflect a 2:1 stock split effective by a stock dividend paid on 12/15/11 to all holders of record on 11/29/11. Securities Beneficially Owned reflects shares acquired pursuant to issuer's employee stock purchase plan in a transaction exempt under Rule 16b-3. /s/John Call Senior Vice President Chief Financial Officer 2012-03-13