0001179110-16-021228.txt : 20160308 0001179110-16-021228.hdr.sgml : 20160308 20160308152446 ACCESSION NUMBER: 0001179110-16-021228 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160304 FILED AS OF DATE: 20160308 DATE AS OF CHANGE: 20160308 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: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 BUSINESS PHONE: 9259654400 MAIL ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BUSH MICHAEL J CENTRAL INDEX KEY: 0001238926 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 161491478 MAIL ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 4 1 edgar.xml FORM 4 - X0306 4 2016-03-04 0 0000745732 ROSS STORES INC ROST 0001238926 BUSH MICHAEL J 5130 HACIENDA DRIVE DUBLIN CA 94568 1 0 0 0 Common Stock 2016-03-04 4 M 0 16188 8.1925 A 41028 D Common Stock 2016-03-04 4 S 0 16188 57.5748 D 24840 D Non-Qualified Stock Option (right to buy) 8.1925 2016-03-04 4 M 0 16188 0 D 2017-05-24 Common Stock 16188 16188 D The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $57.5 to $57.74, inclusive. The reporting person undertakes to provide to Ross Stores, Inc., any security holder of Ross Stores, Inc., and to the staff of the Securities and Exchange Commission upon request, full information regarding the numbers of shares sold at each separate price within this price range. Grant to reporting person of an option which begins vesting six months from grant date (Initial Vest Date). On Initial Vest Date, grant vests and becomes exercisable as to 1/6 of shares granted and then vests and becomes exercisable as to 1/36 of shares granted per month thereafter. The Securities Beneficially Owned reflects a 2:1 stock split effected in the form of a stock dividend paid on 6/11/2015 to all holders of record on 4/22/15. /s/John Call for Michael J. Bush 2016-03-08