0001179110-16-025192.txt : 20160520 0001179110-16-025192.hdr.sgml : 20160520 20160520141930 ACCESSION NUMBER: 0001179110-16-025192 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160518 FILED AS OF DATE: 20160520 DATE AS OF CHANGE: 20160520 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: BJORKLAND K GUNNAR CENTRAL INDEX KEY: 0001238924 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 161665742 MAIL ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 4 1 edgar.xml FORM 4 - X0306 4 2016-05-18 0 0000745732 ROSS STORES INC ROST 0001238924 BJORKLAND K GUNNAR 5130 HACIENDA DRIVE DUBLIN CA 94568 1 0 0 0 Common Stock 2016-05-18 4 A 0 2578 0 A 28242 D Annual Award shall vest 1/3 on May 22, 2017, 1/3 on May 21, 2018, and 1/3 on May 20, 2019. 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 Gunnar Bjorklund 2016-05-20