0001209191-12-057555.txt : 20121213
0001209191-12-057555.hdr.sgml : 20121213
20121213183726
ACCESSION NUMBER: 0001209191-12-057555
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: RUCKELSHAUS JILL S
CENTRAL INDEX KEY: 0001228938
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20355
FILM NUMBER: 121263302
MAIL ADDRESS:
STREET 1: 1015 EVERGREEN POINT RD
CITY: MEDINA
STATE: WA
ZIP: 98039
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
0001228938
RUCKELSHAUS JILL S
P.O. BOX 76
MEDINA
WA
98039
1
0
0
0
Common Stock
2012-12-12
4
A
0
456
98.31
A
25022
D
Stock Option
34.71
2012-12-12
4
A
0
12915
34.71
A
2004-04-01
2014-04-01
Common Stock
12915
12915
D
Stock Option
40.69
2012-12-12
4
A
0
12915
40.69
A
2005-04-01
2015-04-01
Common Stock
12915
12915
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.
This option was previously reported as an option covering 12,000 shares at an exercise price of $37.35 per share and has been adjusted with a lower exercise price and an increased number of options, in connection with the dividend referenced in note 1. The number of outstanding options was increased by a factor of 1.0763, and the option exercise price was reduced by dividing the price by that same factor. The adjustment was required under the governing plan documents.
This option is fully vested.
This option was previously reported as an option covering 12,000 shares at an exercise price of $43.79 per share and has been adjusted with a lower exercise price and an increased number of options, in connection with the dividend referenced in note 1. The number of outstanding options was increased by a factor of 1.0763, and the option exercise price was reduced by dividing the price by that same factor. The adjustment was required under the governing plan documents.
Deanna K. Nakashima, attorney-in-fact
2012-12-13