SEC Form 4 · accession 0001179110-16-025886
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
May 31, 2016
Accepted (ET)
Jun 2, 2016 · 6:35 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 StockF2,F6 | May 31, 2016 | S | 78,194 | $53.3875 | D | 61,548 | D | |
| Common Stock | Jun 1, 2016 | M | 116,790 | $0.00 | A | 178,338 | D | |
| Common StockF3 | Jun 1, 2016 | S | 116,790 | $53.494 | D | 61,548 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| RSUF4,F5 | — | Jun 1, 2016 | M | 116,790 | D | — | — | Common Stock | 116,790 | 0 | D |
Explanation of responses
- F1Shares were sold pursuant to the terms of a pre-established 10b5-1 Plan.
- F2The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $53.07 to $54.13, 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.
- F3The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $53.26 to $53.85, 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.
- F4Each RSU share represents the right to receive one share of ROST common stock.
- F5The RSU vested 25% on May 31,2014, 25% on May 31, 2015 and 50% on May 31, 2016, subject to continued employment, and vested share rights will be settled in ROST common stock on June 1, 2016.
- F6Securities Beneficially Owned includes shares acquired pursuant to issuer's employee stock purchase plan in a transaction exempt under Rule 16b-3.