SEC Form 4 · accession 0001104659-15-066348
ROSS STORES, INC. · ROST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James S Fassio
Officer — President, Chief Dev. Officer
Period of report
Sep 17, 2015
Accepted (ET)
Sep 21, 2015 · 8:29 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000745732
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF5 | Mar 31, 2015 | G | 66 | $0.00 | D | 136,574 | D | |
| Common StockF1,F5 | Jun 30, 2015 | G | 120 | $0.00 | D | 273,148 | D | |
| Common StockF2 | Mar 31, 2015 | G | 66 | $0.00 | A | 252,565 | I | by Trust A |
| Common StockF1,F2 | Jun 30, 2015 | G | 120 | $0.00 | A | 505,250 | I | by Trust A |
| Common StockF2 | Sep 17, 2015 | S | 10,055 | $49.7301 | D | 495,195 | I | by Trust A |
| Common StockF1,F3 | Sep 17, 2015 | S | 50,272 | $49.7301 | D | 129,728 | I | by Trust B |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The Securities Beneficially Owned reflects a 2:1 stock split effected in the form of a stock dividend paid on 6/11/2015 to all holders of record on 4/22/15.
- F2Securities held in the name of James S. Fassio Revocable Trust.
- F3Securities held in the name of James S. Fassio 2012 Dynasty Irrevocable Trust.
- F4The reporting person contributed ROST common stock to an exchange fund in exchange for shares of the exchange fund in a transaction intended to comply with Rule 10b5-1(c). The ROST common stock was valued at $49.7301 per share for the purposes of determining the number of shares of the exchange fund issued to the reporting person.
- F5Securities Beneficially Owned includes shares acquired pursuant to issuer's employee stock purchase plan in a transaction exempt under Rule 16b-3.