SEC Form 5 · accession 0001179110-16-020462
ROSS STORES, INC. · ROST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
George Orban
Director
Period of report
Jan 30, 2016
Accepted (ET)
Feb 29, 2016 · 5:55 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 StockF2 | Dec 28, 2015 | G | 500 | $54.34 | D | 501,768 | D | |
| Common StockF2 | holding | — | — | — | 4,383,654 | I | Partnership | |
| Common StockF2 | holding | — | — | — | 175,710 | I | Trust I | |
| Common StockF2 | holding | — | — | — | 97,310 | I | Trust II | |
| Common StockF2 | holding | — | — | — | 127,400 | I | Trust III | |
| Common StockF2 | holding | — | — | — | 97,310 | I | Trust IV | |
| Common StockF2 | holding | — | — | — | 49,000 | I | Trust V | |
| Common StockF2 | holding | — | — | — | 127,400 | I | Trust VI |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Charitable Gift.
- F2The 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.