SEC Form 4 · accession 0001179110-15-007991
ROSS STORES, INC. · ROST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
George Orban
Director
Period of report
May 14, 2015
Accepted (ET)
May 18, 2015 · 12:32 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 | May 14, 2015 | M | 18,058 | $13.845 | A | 249,796 | D | |
| Common StockF1 | holding | — | — | — | 63,700 | I | by Daughter | |
| Common StockF2 | holding | — | — | — | 24,500 | I | by Daughter Sophie | |
| Common StockF3 | holding | — | — | — | 48,655 | I | by Daughter Trust II | |
| Common Stock | holding | — | — | — | 2,191,827 | I | by Partnership | |
| Common StockF4 | holding | — | — | — | 63,700 | I | by Son | |
| Common StockF5 | holding | — | — | — | 48,655 | I | by Son Trust II | |
| Common StockF6 | holding | — | — | — | 87,855 | I | by Sophie Trust II |
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)F7 | $13.845 | May 14, 2015 | M | 18,058 | D | — | May 19, 2015 | Common Stock | 18,058 | 0 | D |
Explanation of responses
- F1Securities held in the name of Anne Elise Orban Trust.
- F2Securities held by daughter Sophie under UGMA, with non-household member as custodian.
- F3Securities held in the name of Anna Elise Orban Trust II.
- F4Securities held in the name of Jeremy Gyuri Orban Trust.
- F5Securities held in the name of Jeremy Gyuri Orban Trust II.
- F6Securities held in the name of Sophie Orban Trust II.
- F7Grant to reporting person of an option which begins vesting six months from grant date (Initial Vest Date). On Initial Vest Date, grant vests and becomes exercisable as to 1/6 of shares granted and then vests and becomes exercisable as to 1/36 of shares granted per month thereafter.