0001127602-16-046161.txt : 20160311 0001127602-16-046161.hdr.sgml : 20160311 20160311175523 ACCESSION NUMBER: 0001127602-16-046161 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160203 FILED AS OF DATE: 20160311 DATE AS OF CHANGE: 20160311 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: BROCK MACON F JR CENTRAL INDEX KEY: 0001008146 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25464 FILM NUMBER: 161502040 MAIL ADDRESS: STREET 1: 500 VOLVO PARKWAY CITY: CHESAPEAKE STATE: VA ZIP: 23320 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2016-02-03 0 0 0000935703 DOLLAR TREE INC DLTR 0001008146 BROCK MACON F JR 500 VOLVO PARKWAY CHESAPEAKE VA 23320 1 1 Chairman of the Board Common Stock 2015-12-08 5 G 0 120000 0 D 621370 I Spouse Common Stock 2015-12-08 5 G 0 13000 0 D 1100521 D Common Stock 200000 I 2015-2 GRAT (JPB) Common Stock 200000 I 2015-2 GRAT (MFB) Common Stock 200000 I 2015-3 GRAT (JPB) Common Stock 200000 I 2015-3 GRAT (MFB) Common Stock 488790 I Trusts (Descendants') Gift made without consideration. /s/, Shawnta Totten-Medley, attorney-in-fact for Mr. Brock 2016-03-11