SEC Form 4 · accession 0001179110-15-005178
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
Mar 16, 2015
Accepted (ET)
Mar 18, 2015 · 4:43 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 Stock | Mar 16, 2015 | M | 10,000 | $13.905 | A | 226,298 | D | |
| Common StockF1 | Mar 16, 2015 | S | 10,000 | $107.1371 | D | 216,298 | D | |
| Common StockF5 | Mar 16, 2015 | A | 11,171 | $0.00 | A | 227,469 | D | |
| Common Stock | Mar 16, 2015 | F | 1,259 | $106.85 | D | 226,210 | D | |
| Common StockF5 | Mar 16, 2015 | A | 7,875 | $0.00 | A | 234,085 | D | |
| Common Stock | Mar 16, 2015 | F | 887 | $106.85 | D | 233,198 | D | |
| Common Stock | Mar 16, 2015 | G | 3,569 | $0.00 | D | 229,629 | D | |
| Common Stock | Mar 17, 2015 | F | 47,839 | $106.38 | D | 181,790 | D | |
| Common Stock | Mar 17, 2015 | G | 43,843 | $0.00 | D | 137,947 | D | |
| Common StockF3 | Mar 16, 2015 | G | 3,569 | $0.00 | A | 208,206 | I | by Trust A |
| Common StockF3 | Mar 17, 2015 | G | 43,843 | $0.00 | A | 252,049 | I | by Trust A |
| Common StockF4 | holding | — | — | — | 90,000 | I | by Trust B |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (right to buy)F2 | $13.905 | Mar 16, 2015 | M | 10,000 | D | — | Mar 16, 2016 | Common Stock | 10,000 | 28,000 | D |
Explanation of responses
- F1The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $107.13 to $107.19, inclusive. The reporting person undertakes to provide to Ross Stores, Inc., any security holder of Ross Stores, Inc., and to the staff of the Securities and Exchange Commission upon request, full information regarding the numbers of shares sold at each separate price within this price range.
- F2Option is exercisable as it vests in monthly increments beginning the first full month from date of grant with a vested ratio of 1/72 for the first year, 2/72 for the second year and 3/72 for the third year.
- F3Securities held in the name of James S. Fassio Revocable Trust.
- F4Securities held in the name of James S. Fassio 2012 Dynasty Irrevocable Trust.
- F5Shares issued pursuant to the settlement of a performance share award under the terms of the 2008 Equity Incentive Plan. Shares vest 30% on settlement date of March 16, 2015, 30% on March 16, 2016 and 40% on March 16, 2017.