0001179110-17-006779.txt : 20170508 0001179110-17-006779.hdr.sgml : 20170508 20170508123347 ACCESSION NUMBER: 0001179110-17-006779 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170504 FILED AS OF DATE: 20170508 DATE AS OF CHANGE: 20170508 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: 0203 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: ORBAN GEORGE CENTRAL INDEX KEY: 0001238943 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 17821386 MAIL ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 4 1 edgar.xml FORM 4 - X0306 4 2017-05-04 0 0000745732 ROSS STORES INC ROST 0001238943 ORBAN GEORGE 5130 HACIENDA DRIVE DUBLIN CA 94568 1 0 0 0 Common Stock 2017-05-04 4 M 0 32376 8.1925 A 539126 D Common Stock 175710 I Trust I Common Stock 97310 I Trust II Common Stock 120400 I Trust III Common Stock 97310 I Trust IV Common Stock 42000 I Trust V Common Stock 120400 I Trust VI Common Stock 4383654 I by Partnership Non-Qualified Stock Option (right to buy) 8.1925 2017-05-04 4 M 0 32376 0 D 2017-05-24 Common Stock 32376 0 D 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. /s/John Call for George P. Orban 2017-05-08