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