0001127602-19-029962.txt : 20191003 0001127602-19-029962.hdr.sgml : 20191003 20191003151804 ACCESSION NUMBER: 0001127602-19-029962 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191001 FILED AS OF DATE: 20191003 DATE AS OF CHANGE: 20191003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hall Conrad M. CENTRAL INDEX KEY: 0001481649 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25464 FILM NUMBER: 191135378 MAIL ADDRESS: STREET 1: 7900 WORLD TRADE CTR, 101 WEST MAIN STR. CITY: NORFOLK STATE: VA ZIP: 23510 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: 0201 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 INC DATE OF NAME CHANGE: 20080328 FORMER COMPANY: FORMER CONFORMED NAME: DOLLAR TREE STORES INC DATE OF NAME CHANGE: 19950117 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2019-10-01 0000935703 DOLLAR TREE, INC. DLTR 0001481649 Hall Conrad M. 500 VOLVO PARKWAY CHESAPEAKE VA 23320 1 Phantom Stock 2019-10-01 4 A 0 463.58 113.25 A Common Stock 463.58 463.58 D Each share of phantom stock represents the right to receive one share of Dollar Tree common stock, and cash for any fractional shares. Represents deferral of directors fees under the 2013 Director Deferred Compensation Plan. Shares of phantom stock are payable in common stock following the earlier of the director's separation from the Board or the specified date of distribution pursuant to director's deferral election. Shares of phantom stock are payable in common stock following the earlier of the director's separation from the Board or the specified date of distribution pursuant to director's deferral election. /s/ Shawnta Totten-Medley, attorney-in-fact for Mr. Hall 2019-10-03