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