SEC Form 4 · accession 0001179110-16-021414
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
Mar 7, 2016
Accepted (ET)
Mar 9, 2016 · 11:06 am 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 7, 2016 | M | 18,000 | $6.9525 | A | 291,148 | D | |
| Common StockF1 | Mar 7, 2016 | S | 18,000 | $58.2345 | D | 273,148 | D | |
| Common StockF2 | holding | — | — | — | 495,451 | I | by Trust A | |
| Common StockF3 | holding | — | — | — | 129,728 | I | by Trust B |
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)F5,F4 | $6.9525 | Mar 7, 2016 | M | 18,000 | D | — | Mar 16, 2016 | Common Stock | 18,000 | 18,000 | D |
Explanation of responses
- F1The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $58.00 to $58.68, 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.
- F2Securities held in the name of James S. Fassio Revocable Trust.
- F3Securities held in the name of James S. Fassio 2012 Dynasty Irrevocable Trust.
- F4Option is exercisable as it vests in monthly increments beginning the first full month from date of grant with a vested ratio of 1/72 for the first year, 2/72 for the second year and 3/72 for the third year.
- F5The 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.