0001179110-12-013021.txt : 20120816 0001179110-12-013021.hdr.sgml : 20120816 20120816183608 ACCESSION NUMBER: 0001179110-12-013021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120815 FILED AS OF DATE: 20120816 DATE AS OF CHANGE: 20120816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BALMUTH MICHAEL CENTRAL INDEX KEY: 0001238922 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 121041012 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 4 1 edgar.xml FORM 4 - X0306 4 2012-08-15 0 0000745732 ROSS STORES INC ROST 0001238922 BALMUTH MICHAEL 4440 ROSEWOOD DR. PLEASANTON CA 94588 1 1 0 0 Vice Chairman and CEO Share Rights 2012-08-15 4 A 0 58395 0.00 A Common Stock 58395 209068 D Each share right represents the right to receive one share of ROST common stock. The share rights vest 25% on 5/31/2014, 25% vest on 5/31/2015, and 50% vest on 5/31/2016, subject to continued employment, and vested share rights will be settled in ROST common stock on 6/1/2016. /s/ MICHAEL BALMUTH, CEO 2012-08-16