0001179110-21-003757.txt : 20210323
0001179110-21-003757.hdr.sgml : 20210323
20210323201847
ACCESSION NUMBER: 0001179110-21-003757
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210319
FILED AS OF DATE: 20210323
DATE AS OF CHANGE: 20210323
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: 21766208
MAIL ADDRESS:
STREET 1: 5130 HACIENDA DRIVE
CITY: DUBLIN
STATE: CA
ZIP: 94568
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: 0130
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
FORMER COMPANY:
FORMER CONFORMED NAME: ROSS STORES INC
DATE OF NAME CHANGE: 19920703
4
1
edgar.xml
FORM 4 -
X0306
4
2021-03-19
0
0000745732
ROSS STORES, INC.
ROST
0001238922
BALMUTH MICHAEL
5130 HACIENDA DRIVE
DUBLIN
CA
94568
1
1
0
0
Chairman of the Board
Common Stock
2021-03-19
4
A
0
39520
0
A
61951
D
Common Stock
2021-03-19
4
S
0
11856
121.3642
D
50095
D
Shares issued pursuant to settlement of a performance share award under the terms of the 2017 Equity Incentive Plan. Shares become vested as follows: 11,856 shares vest as of March 19, 2021 and 27,664 shares vest as of May 28, 2021.
Shares were sold pursuant to the terms of a pre-established 10b5-1 Plan established on September 18, 2020.
The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $119.68 to $122.63, 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.
/s/ Ken Jew for Michael Balmuth
2021-03-23