0001415889-24-014439.txt : 20240524 0001415889-24-014439.hdr.sgml : 20240524 20240524141436 ACCESSION NUMBER: 0001415889-24-014439 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240522 FILED AS OF DATE: 20240524 DATE AS OF CHANGE: 20240524 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mueller Patricia H CENTRAL INDEX KEY: 0001639998 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 24983252 BUSINESS ADDRESS: BUSINESS PHONE: 2143579588 MAIL ADDRESS: STREET 1: 2481 MANANA DRIVE CITY: DALLAS STATE: TX ZIP: 75220 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ROSS STORES, INC. CENTRAL INDEX KEY: 0000745732 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FAMILY CLOTHING STORES [5651] ORGANIZATION NAME: 07 Trade & Services 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 FORMER COMPANY: FORMER CONFORMED NAME: ROSS STORES INC DATE OF NAME CHANGE: 19920703 4 1 form4-05242024_060529.xml X0508 4 2024-05-22 0000745732 ROSS STORES, INC. ROST 0001639998 Mueller Patricia H 5130 HACIENDA DRIVE DUBLIN CA 94568 true false false false 0 Common Stock 2024-05-22 4 A 0 1293 0 A 4459 D Common Stock 1914 I by Limited Liability Corporation Shares issued under the terms of the 2017 Equity Incentive Plan. Shares become vested as follows: 1/3 on May 27, 2025, 1/3 on May 27, 2026, and 1/3 on May 27, 2027. Securities held in the name of LT Doglover Holdings, LLC c/o Lyndon David Mueller & Patricia Helen Mueller /s/ Ken Jew for Patricia H. Mueller 2024-05-24