SEC Form 4 · accession 0001179110-16-021927
ROSS STORES, INC. · ROST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Balmuth
Officer — Chairman, Executive · Director
Period of report
Mar 16, 2016
Accepted (ET)
Mar 18, 2016 · 4:13 pm EDT
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,F2,F3 | Mar 16, 2016 | A | 85,696 | $0.00 | A | 300,466 | D | |
| Common StockF4 | Mar 16, 2016 | S | 25,710 | $57.9879 | D | 274,756 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares issued pursuant to settlement of a performance share award under the terms of the 2008 Equity Incentive Plan. Shares become vested as follows: 25,710 shares vest as of March 16, 2016, 25,708 shares vest as of March 14, 2017, and 34,278 shares vest as of March 12, 2018.
- 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.
- F3Securities Beneficially Owned includes shares acquired pursuant to issuer's employee stock purchase plan in a transaction exempt under Rule 16b-3.
- F4The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $57.45 to $58.27, 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.