0001127602-13-022224.txt : 20130703 0001127602-13-022224.hdr.sgml : 20130703 20130703113846 ACCESSION NUMBER: 0001127602-13-022224 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130701 FILED AS OF DATE: 20130703 DATE AS OF CHANGE: 20130703 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: 0201 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BROCK MACON F JR CENTRAL INDEX KEY: 0001008146 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25464 FILM NUMBER: 13951752 MAIL ADDRESS: STREET 1: 500 VOLVO PARKWAY CITY: CHESAPEAKE STATE: VA ZIP: 23320 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2013-07-01 0000935703 DOLLAR TREE INC DLTR 0001008146 BROCK MACON F JR 500 VOLVO PARKWAY CHESAPEAKE VA 23320 1 1 Chairman of the Board Common Stock 2013-06-20 5 G 0 E 40000 0 D 1325678 D Common Stock 2013-06-20 5 G 0 E 31000 0 D 961172 I Spouse Common Stock 0 I 2002 GRAT Common Stock 0 I 2008 GRAT Common Stock 180200 I 2012 GRAT (JPB) Common Stock 180200 I 2012 GRAT (MFB) Common Stock 488790 I Trusts (Descendants') Restricted Stock Unit 0 2013-07-01 4 A 0 5810 0 A 2014-07-01 2014-07-01 Common Stock 5810 5810 D Gift made without consideration. 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. Disclaimer: Reporting person disclaims beneficial ownership of all indirectly held securities and this report shall not be deemed an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose. /s/, Shawnta Totten, attorney-in-fact for Mr. Brock 2013-07-03