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