SEC Form 4 · accession 0001179110-16-021228

ROSS STORES, INC. · ROST

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Mar 4, 2016

Accepted (ET)

Mar 8, 2016 · 3:24 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 Stock	Mar 4, 2016	M	16,188	$8.1925	A	41,028	D
Common Stock^F1	Mar 4, 2016	S	16,188	$57.5748	D	24,840	D

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,F2	$8.1925	Mar 4, 2016	M	16,188	D	—	May 24, 2017	Common Stock	16,188	16,188	D

F1The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $57.5 to $57.74, 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.
F2Grant 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.
F3The 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.