SEC Form 4 · accession 0001127602-16-061468
DOLLAR TREE, INC. · DLTR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joshua R Jewett
Officer — Chief Information Officer
Period of report
Aug 28, 2016
Accepted (ET)
Aug 30, 2016 · 2:58 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 StockF2 | Aug 28, 2016 | M | 868 | $0.00 | A | 4,378 | D | |
| Common Stock | Aug 28, 2016 | F | 289 | $85.50 | D | 4,089 | 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 UnitF2,F4,F5 | $0.00 | Aug 28, 2016 | M | 868 | D | Aug 28, 2016 | Aug 28, 2016 | Common Stock | 868 | 1,739 | D |
Explanation of responses
- F1Portion vested at anniversary of three-year award.
- F2Convert without cost to shares of common stock on a one-for-one basis.
- F3Shares deemed surrendered in payment of tax liability resulting from vesting of restricted stock units.
- F4Restricted Stock Unit awarded on August 28, 2015.
- F5Vests in three approximately equal annual installments, beginning the first anniversary of the award date, subject to continued employment.