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