0001127602-16-068462.txt : 20161128 0001127602-16-068462.hdr.sgml : 20161128 20161128122137 ACCESSION NUMBER: 0001127602-16-068462 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161127 FILED AS OF DATE: 20161128 DATE AS OF CHANGE: 20161128 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: Maxwell Gary CENTRAL INDEX KEY: 0001656349 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25464 FILM NUMBER: 162019119 MAIL ADDRESS: STREET 1: 500 VOLVO PARKWAY CITY: CHESAPEAKE STATE: VA ZIP: 23320 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-11-27 0000935703 DOLLAR TREE INC DLTR 0001656349 Maxwell Gary 500 VOLVO PARKWAY CHESAPEAKE VA 23320 1 Chief Supply Chain Officer Common Stock 2016-11-27 4 M 0 888 0 A 888 D Common Stock 2016-11-27 4 F 0 294 89.18 D 594 D Restricted Stock Unit 0 2016-11-27 4 M 0 888 D 2016-11-27 2016-11-27 Common Stock 888 1776 D Portion vested at anniversary of three-year award. Convert without cost to shares of common stock on a one-for-one basis. Shares deemed surrendered in payment of tax liability resulting from vesting of restricted stock units. The Compensation Committee certified on 3/9/2016 that the Company achieved its 2015 performance target for performanced-based restricted stock units granted on 11/27/2015, and that shares will vest in approximately three equal installments, beginning on the first anniversary of the award date, subject to continued employment. /s/ Shawnta Totten-Medly, attorney-in-fact for Mr. Maxwell 2016-11-28