0001179110-22-002383.txt : 20220322 0001179110-22-002383.hdr.sgml : 20220322 20220322190016 ACCESSION NUMBER: 0001179110-22-002383 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220318 FILED AS OF DATE: 20220322 DATE AS OF CHANGE: 20220322 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOBAYASHI MICHAEL K CENTRAL INDEX KEY: 0001311099 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 22761141 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 2022-03-18 0 0000745732 ROSS STORES, INC. ROST 0001311099 KOBAYASHI MICHAEL K 5130 HACIENDA DRIVE DUBLIN CA 94568 0 1 0 0 Pres., Chief Capability Ofcr Common Stock 2022-03-18 4 A 0 15139 0.00 A 130338 D Common Stock 2022-03-18 4 F 0 9736 93.33 D 120602 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: 4,542 shares vest as of March 18, 2022, 4,542 shares vest as of March 17, 2023, and 6,055 shares vest as of March 22, 2024. /s/ Ken Jew for Mike Kobayashi 2022-03-22