0001179110-21-005752.txt : 20210521 0001179110-21-005752.hdr.sgml : 20210521 20210521190847 ACCESSION NUMBER: 0001179110-21-005752 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210519 FILED AS OF DATE: 20210521 DATE AS OF CHANGE: 20210521 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: 21950664 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: 0129 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 2021-05-19 0 0000745732 ROSS STORES, INC. ROST 0001238943 ORBAN GEORGE 5130 HACIENDA DRIVE DUBLIN CA 94568 1 0 0 0 Common Stock 2021-05-19 4 A 0 1279 0 A 396979 D Common Stock 2021-05-19 4 A 0 959 0 A 397938 D Common Stock 4373654 I Partnership Common Stock 231317 I Trust I Common Stock 152918 I Trust II Common Stock 120400 I Trust III Common Stock 152918 I Trust IV Common Stock 120400 I Trust VI Common Stock 42000 I Trust V Shares issued under the terms of the 2017 Equity Incentive Plan. Shares become vested as follows: 1/3 on May 24, 2022, 1/3 on May 24, 2023 and 1/3 on May 24, 2024. /s/ Ken Jew for George Orban 2021-05-21