0001127602-17-012543.txt : 20170321
0001127602-17-012543.hdr.sgml : 20170321
20170321170822
ACCESSION NUMBER: 0001127602-17-012543
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170318
FILED AS OF DATE: 20170321
DATE AS OF CHANGE: 20170321
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25464
FILM NUMBER: 17704846
MAIL ADDRESS:
STREET 1: 500 VOLVO PARKWAY
CITY: CHESAPEAKE
STATE: VA
ZIP: 23320
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-03-18
0000935703
DOLLAR TREE INC
DLTR
0001008146
BROCK MACON F JR
500 VOLVO PARKWAY
CHESAPEAKE
VA
23320
1
1
Chairman of the Board
Common Stock
2017-03-18
4
M
0
2291
0
A
1239791
D
Common Stock
2017-03-18
4
F
0
839
75.70
D
1238952
D
Common Stock
117654
I
2015-2 GRAT (JPB)
Common Stock
117654
I
2015-2 GRAT (MFB)
Common Stock
150431
I
2015-3 GRAT (JPB)
Common Stock
150431
I
2015-3 GRAT (MFB)
Common Stock
753285
I
Spouse
Common Stock
488790
I
Trusts (Descendants')
Restricted Stock Unit
0
2017-03-18
4
M
0
2291
D
2017-03-18
2017-03-18
Common Stock
2291
4583
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.
Vests in three approximately equal annual installments, beginning on the first anniversary of the award date, subject to continued employment.
/s/, Shawnta Totten-Medley, attorney-in-fact for Mr. Brock
2017-03-21