0001209191-17-035638.txt : 20170525
0001209191-17-035638.hdr.sgml : 20170525
20170525213953
ACCESSION NUMBER: 0001209191-17-035638
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161114
FILED AS OF DATE: 20170525
DATE AS OF CHANGE: 20170525
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: EVANS DANIEL J
CENTRAL INDEX KEY: 0001039950
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20355
FILM NUMBER: 17871567
MAIL ADDRESS:
STREET 1: 411 FIRST AVENUE SOUTH SUITE 600
CITY: SEATTLE
STATE: WA
ZIP: 98014
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-11-14
0
0000909832
COSTCO WHOLESALE CORP /NEW
COST
0001039950
EVANS DANIEL J
5215 NE 45TH ST.
SEATTLE
WA
98105
1
0
0
0
Common Stock
2016-11-14
5
J
0
E
2385
D
12791
D
Common Stock
2017-05-24
4
A
0
140
173.01
A
12931
D
Common Stock
2016-11-14
5
J
0
E
2385
A
19813
I
The Evans Revocable Trust
Transfer from direct to indirect.
Represents additional restricted stock units ("RSUs") resulting from the upward adjustment of outstanding unvested RSUs by a factor of 1.032, in connection with the special cash dividend to be paid by the issuer on May 26, 2017. The adjustment was required under applicable plan documents. The additional RSUs reported are subject to the same vesting schedules as the original unvested RSUs to which they relate.
Deanna K. Nakashima, attorney-in-fact
2017-05-25