SEC Form 5 · accession 0001179110-16-020463
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
Jan 30, 2016
Accepted (ET)
Feb 29, 2016 · 5:56 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 | Sep 30, 2015 | G | 126 | $0.00 | D | 273,278 | D | |
| Common Stock | Dec 31, 2015 | G | 130 | $0.00 | D | 273,148 | D | |
| Common StockF2 | Sep 30, 2015 | G | 126 | $0.00 | A | 495,321 | I | Trust A |
| Common StockF2 | Dec 31, 2016 | G | 130 | $0.00 | A | 495,451 | I | Trust A |
| Common StockF3 | holding | — | — | — | 129,728 | I | Trust B |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Securities Beneficially Owned includes shares acquired pursuant to issuer's employee stock purchase plan in a transaction exempt under Rule 16b-3.
- F2Securities held in the name of James S. Fassio Revocable Trust.
- F3Securities held in the name of James S. Fassio 2012 Dynasty Irrevocable Trust.