SEC Form 4 · accession 0001127602-16-049917
DOLLAR TREE, INC. · DLTR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David A. Jacobs
Officer — Chief Strategy Officer
Period of report
Apr 23, 2016
Accepted (ET)
Apr 26, 2016 · 5:17 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,F2 | Apr 23, 2016 | M | 3,202 | $0.00 | A | 24,888 | D | |
| Common Stock | Apr 23, 2016 | F | 1,528 | $80.95 | D | 23,360 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF1,F4 | $0.00 | Apr 23, 2016 | M | 3,202 | D | Apr 23, 2016 | Apr 23, 2016 | Common Stock | 3,202 | 0 | D |
Explanation of responses
- F1Convert without cost to shares of common stock on a one-for-one basis.
- F2This amount includes an additional 323 shares acquired under the Company's broad-based Employee Stock Purchase Plan on March 31, 2016.
- F3Shares deemed surrendered in payment of tax liability resulting from vesting of restricted stock units.
- F4The Compensation Committee certified on 3/9/2016 the level of performance achieved for the 2015 Supplemental Grant that was awarded on 4/23/2015 pursuant to the Long-Term Performance Plan. The award will fully vest on 4/23/2016.