SEC Form 4 · accession 0001179110-16-018047
ROSS STORES, INC. · ROST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sharon D Garrett
Director
Period of report
Jan 26, 2016
Accepted (ET)
Jan 28, 2016 · 2:23 pm EST
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 StockF1 | Jan 26, 2016 | M | 37,404 | $6.885 | A | 43,904 | D | |
| Common Stock | Jan 26, 2016 | G | 37,404 | $0.00 | D | 6,500 | D | |
| Common StockF1,F2 | Jan 26, 2016 | G | 37,404 | $0.00 | A | 202,312 | I | by Trust |
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)F3 | $6.885 | Jan 26, 2016 | M | 37,404 | D | — | May 18, 2016 | Common Stock | 37,404 | 0 | D |
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 Sharon D. Garrett Living Trust.
- F3Grant 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.