0001209191-12-057554.txt : 20121213 0001209191-12-057554.hdr.sgml : 20121213 20121213183700 ACCESSION NUMBER: 0001209191-12-057554 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121212 FILED AS OF DATE: 20121213 DATE AS OF CHANGE: 20121213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAIKES JEFFREY S CENTRAL INDEX KEY: 0001193112 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20355 FILM NUMBER: 121263300 MAIL ADDRESS: STREET 1: MICROSOFT CORPORATION STREET 2: ONE MICROSOFT WAY CITY: REDMOND STATE: WA ZIP: 98052-6399 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COSTCO WHOLESALE CORP /NEW CENTRAL INDEX KEY: 0000909832 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] IRS NUMBER: 911223280 STATE OF INCORPORATION: WA FISCAL YEAR END: 0902 BUSINESS ADDRESS: STREET 1: 999 LAKE DRIVE CITY: ISSAQUAH STATE: WA ZIP: 98027- BUSINESS PHONE: 4253138100 MAIL ADDRESS: STREET 1: 999 LAKE DRIVE CITY: ISSAQUAH STATE: WA ZIP: 98027 FORMER COMPANY: FORMER CONFORMED NAME: COSTCO COMPANIES INC DATE OF NAME CHANGE: 19970401 FORMER COMPANY: FORMER CONFORMED NAME: PRICE/COSTCO INC DATE OF NAME CHANGE: 19930728 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-12-12 0 0000909832 COSTCO WHOLESALE CORP /NEW COST 0001193112 RAIKES JEFFREY S C/O BILL AND MELINDA GATES FOUNDATION 1551 EASTLAKE AVE. E. SEATTLE WA 98102 1 0 0 0 Common Stock 2012-12-12 4 A 0 456 98.31 A 20706 D Represents additional restricted stock units ("RSUs") resulting from the upward adjustment of outstanding unvested RSUs by a factor of 1.0763 in connection with the $7.00 per share special cash dividend payable by the issuer to shareholders of record on December 10, 2012. The adjustment was required under the plan documents governing the grants. The RSUs reported are subject to the same vesting schedules as the original RSUs to which they relate. Deanna K. Nakashima, attorney-in-fact 2012-12-13