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