SEC Form 5 · accession 0001179110-18-003913
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
Feb 3, 2018
Accepted (ET)
Mar 9, 2018 · 1:18 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 StockF2 | Jun 30, 2017 | G | 95 | $0.00 | D | 165,528 | D | |
| Common StockF2 | Sep 29, 2017 | G | 107 | $0.00 | D | 165,528 | D | |
| Common StockF2 | Dec 29, 2017 | G | 96 | $0.00 | D | 165,528 | D | |
| Common StockF3 | Jun 30, 2017 | G | 95 | $0.00 | A | 561,068 | I | by Trust A |
| Common StockF3 | Sep 29, 2017 | G | 107 | $0.00 | A | 561,175 | I | by Trust A |
| Common StockF3 | Dec 29, 2017 | G | 96 | $0.00 | A | 561,271 | I | by Trust A |
| Common StockF4 | holding | — | — | — | 86,930 | I | by Trust B |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Bona Fide Gift
- F2Securities Beneficially Owned includes shares acquired pursuant to issuer's employee stock purchase plan in a transaction exempt under Rule 16b-3.
- F3Securities held in the name of James S. Fassio Revocable Trust.
- F4Securities held in the name of James S. Fassio 2012 Dynasty Irrevocable Trust.