0001209191-17-056164.txt : 20171005 0001209191-17-056164.hdr.sgml : 20171005 20171005172816 ACCESSION NUMBER: 0001209191-17-056164 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171002 FILED AS OF DATE: 20171005 DATE AS OF CHANGE: 20171005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAZARUS FRANZ E CENTRAL INDEX KEY: 0001184496 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-20355 FILM NUMBER: 171125340 MAIL ADDRESS: STREET 1: 999 LAKE DRIVE CITY: ISSAQUAH STATE: WA ZIP: 98027 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/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2017-10-02 2017-10-03 0 0000909832 COSTCO WHOLESALE CORP /NEW COST 0001184496 LAZARUS FRANZ E 999 LAKE DRIVE ISSAQUAH WA 98027 0 1 0 0 Executive VP Common Stock 2017-10-02 4 A 0 626 165.89 A 30571 D Common Stock 28134 I Lazarus Family Trust Represents additional restricted stock units ("RSUs") resulting from the upward adjustment of unvested RSUs in connection with the special cash dividend paid on May 26, 2017. The adjustment was required under the plan documents governing the grants. The RSUs reported are subject to the same vesting schedules as the RSUs granted in October 2016 subject to performance conditions concerning fiscal 2017, which were deemed satisfied by the Compensation Committee of the Board of Directors. Deanna K. Nakashima, attorney-in-fact 2017-10-05