0001127602-15-034583.txt : 20151218 0001127602-15-034583.hdr.sgml : 20151218 20151218143201 ACCESSION NUMBER: 0001127602-15-034583 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151217 FILED AS OF DATE: 20151218 DATE AS OF CHANGE: 20151218 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: 0131 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: PERRY J DOUGLAS CENTRAL INDEX KEY: 0001009270 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25464 FILM NUMBER: 151296443 MAIL ADDRESS: STREET 1: 500 VOLVO PARKWAY CITY: CHESAPEAKE STATE: VA ZIP: 23320 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2015-12-17 0000935703 DOLLAR TREE INC DLTR 0001009270 PERRY J DOUGLAS 500 VOLVO PARKWAY CHESAPEAKE VA 23320 1 Common Stock 2015-12-17 4 J 0 81000 78.849 D 861084 I Trusts (Descendants') Common Stock 315757 D Common Stock 98509 I 2012-4 GRAT (JDP) Common Stock 236626 I 2012-7 GRAT (JDP) "The reporting person contributed common stock to an exchange fund in exchange for shares of the exchange fund. The common stock was valued at $78.849 per share for the purpose of determining the number of shares of the exchange fund issuable to the reporting person." "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. Perry 2015-12-18