SEC Form 4 · accession 0001179110-17-006779
ROSS STORES, INC. · ROST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
George Orban
Director
Period of report
May 4, 2017
Accepted (ET)
May 8, 2017 · 12:33 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 Stock | May 4, 2017 | M | 32,376 | $8.1925 | A | 539,126 | D | |
| Common Stock | holding | — | — | — | 175,710 | I | Trust I | |
| Common Stock | holding | — | — | — | 97,310 | I | Trust II | |
| Common Stock | holding | — | — | — | 120,400 | I | Trust III | |
| Common Stock | holding | — | — | — | 97,310 | I | Trust IV | |
| Common Stock | holding | — | — | — | 42,000 | I | Trust V | |
| Common Stock | holding | — | — | — | 120,400 | I | Trust VI | |
| Common Stock | holding | — | — | — | 4,383,654 | I | by Partnership |
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)F1 | $8.1925 | May 4, 2017 | M | 32,376 | D | — | May 24, 2017 | Common Stock | 32,376 | 0 | D |
Explanation of responses
- F1Grant 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.