0001127602-13-012847.txt : 20130402 0001127602-13-012847.hdr.sgml : 20130402 20130402154207 ACCESSION NUMBER: 0001127602-13-012847 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130330 FILED AS OF DATE: 20130402 DATE AS OF CHANGE: 20130402 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jacobs David A. CENTRAL INDEX KEY: 0001546549 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25464 FILM NUMBER: 13735139 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 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2013-03-30 0000935703 DOLLAR TREE INC DLTR 0001546549 Jacobs David A. 500 VOLVO PARKWAY CHESAPEAKE VA 23320 1 Chief Strategy Officer Common Stock 2013-03-30 4 M 0 3153 0 A 22397 D Common Stock 2013-03-30 4 F 0 1044 48.43 D 21353 D Common Stock 2013-04-01 4 M 0 4734 0 A 26087 D Common Stock 2013-04-01 4 F 0 1696 47.60 D 24391 D Restricted Stock Unit 0 2013-03-30 4 M 0 3153 D 2013-03-30 2013-03-30 Common Stock 3153 6307 D Restricted Stock Unit 0 2013-04-01 4 M 0 4734 D 2013-04-01 2013-04-01 Common Stock 4734 4734 D Portion vested at anniversary of three-year award. Convert without cost to shares of common stock on a one-for-one basis. Shares deemed surrendered in payment of tax liability resulting from vesting of restricted stock units. Vests in three approximately equal annual installments, beginning the first anniversary of the award date, subject to continued employment. /s/ Shawnta Totten, attorney-in-fact for David A. Jacobs 2013-04-02