0001127602-12-013377.txt : 20120405 0001127602-12-013377.hdr.sgml : 20120405 20120405103954 ACCESSION NUMBER: 0001127602-12-013377 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120401 FILED AS OF DATE: 20120405 DATE AS OF CHANGE: 20120405 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jacobs David A. CENTRAL INDEX KEY: 0001546549 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-25464 FILM NUMBER: 12744197 MAIL ADDRESS: STREET 1: 500 VOLVO PARKWAY CITY: CHESAPEAKE STATE: VA ZIP: 23320 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DOLLAR TREE INC CENTRAL INDEX KEY: 0000935703 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] IRS NUMBER: 541387365 STATE OF INCORPORATION: VA FISCAL YEAR END: 0128 BUSINESS ADDRESS: STREET 1: 500 VOLVO PARKWAY STREET 2: N/A CITY: CHESAPEAKE STATE: VA ZIP: 23320 BUSINESS PHONE: (757) 321-5000 MAIL ADDRESS: STREET 1: 500 VOLVO PARKWAY CITY: CHESAPEAKE STATE: VA ZIP: 23320 FORMER COMPANY: FORMER CONFORMED NAME: DOLLAR TREE STORES INC DATE OF NAME CHANGE: 19950117 3/A 1 form3a.xml PRIMARY DOCUMENT X0205 3/A 2012-04-01 2012-04-05 0 0000935703 DOLLAR TREE INC DLTR 0001546549 Jacobs David A. 500 VOLVO PARKWAY CHESAPEAKE VA 23320 1 Chief Strategy Officer Common Stock 11000 D Restricted Stock Unit 0 2013-03-26 2013-03-26 Common Stock 3900 D Restricted Stock Unit 0 2013-04-01 2013-04-01 Common Stock 4734 D Stock Option (right to buy) 25.4933 2008-03-30 2017-03-30 Common Stock 4375 D Stock Option (right to buy) 17.82 2009-03-14 2018-03-14 Common Stock 9375 D Convert without cost to shares of common stock on a one-for-one basis. Vests in three approximately equal annual installments, beginning the first anniversary of the award date, subject to continued employment. Vests in three approximately equal annual installments, beginning the first anniversary of the award date, subject to continued employment. Expires at the earlier of one year after ceasing to be a director, with certain grace periods, or ten years after grant. /s/ Shawnta Totten, attorney-in-fact for David A. Jacobs 2012-04-05