SEC Form 4 · accession 0001127602-15-013395
DOLLAR TREE, INC. · DLTR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Macon F Brock Jr.
Officer — Chairman of the Board · Director
Period of report
Mar 27, 2015
Accepted (ET)
Apr 2, 2015 · 2:21 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000935703
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Apr 1, 2015 | M | 3,494 | $0.00 | A | 1,113,381 | D | |
| Common Stock | Apr 1, 2015 | F | 1,155 | $81.30 | D | 1,112,226 | D | |
| Common Stock | holding | — | — | — | 200,000 | I | 2015-2 GRAT (JPB) | |
| Common Stock | holding | — | — | — | 200,000 | I | 2015-2 GRAT (MFB) | |
| Common Stock | holding | — | — | — | 200,000 | I | 2015-3 GRAT (JPB) | |
| Common Stock | holding | — | — | — | 200,000 | I | 2015-3 GRAT (MFB) | |
| Common Stock | holding | — | — | — | 741,370 | I | Spouse | |
| Common Stock | holding | — | — | — | 488,790 | I | Trusts (Descendants') |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF3,F4 | $0.00 | Mar 27, 2015 | A | 6,730 | A | Mar 27, 2016 | Mar 27, 2016 | Common Stock | 6,730 | 6,730 | D |
| Restricted Stock UnitF1,F3,F5 | $0.00 | Apr 1, 2015 | M | 3,494 | D | Apr 1, 2015 | Apr 1, 2015 | Common Stock | 3,494 | 6,989 | D |
Explanation of responses
- F1Portion vested at anniversary of three-year award.
- F2Shares deemed surrendered in payment of tax liability resulting from vesting of restricted stock units.
- F3Convert without cost to shares of common stock on a one-for-one basis.
- F4Vests in three approximately equal annual installments, beginning the first anniversary of the award date, subject to continued employment.
- F5Vests in three approximately equal annual installments, beginning on the first anniversary of the award date, subject to continued employment.
Remarks
"Disclaimer: Reporting person disclaims beneficial ownership of all indirectly held securities and this report shall not be deemed an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose."