SEC Form 4 · accession 0001209191-17-035635
COSTCO WHOLESALE CORP /NEW · COST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey H Brotman
Officer — Chairman of the Board · Director
Period of report
May 24, 2017
Accepted (ET)
May 25, 2017 · 9:37 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000909832
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 24, 2017 | A | 2,057 | $173.01 | A | 83,309 | D | |
| Common StockF2 | holding | — | — | — | 374,495 | I | 1984 Brotman Family Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents additional restricted stock units ("RSUs") resulting from the upward adjustment of outstanding unvested RSUs by a factor of 1.032, in connection with the special cash dividend to be paid by the issuer on May 26, 2017. The adjustment was required under applicable plan documents. The additional RSUs reported are subject to the same vesting schedules as the original unvested RSUs to which they relate.
- F2Mr. Brotman disclaims beneficial ownership of shares owned by the trust. Mr. Brotman is not a trustee of this trust nor does he have investment control over the trust's assets. Mr. Brotman is one of a number of beneficiaries of the trust.