SEC Form 4 · accession 0001127602-17-026612
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, 2017
Accepted (ET)
Aug 29, 2017 · 11:30 am 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 | Aug 28, 2017 | M | 869 | $0.00 | A | 5,579 | D | |
| Common Stock | Aug 28, 2017 | F | 287 | $80.38 | D | 5,292 | 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,F3,F4 | $0.00 | Aug 28, 2017 | M | 869 | D | Aug 28, 2017 | Aug 28, 2017 | Common Stock | 869 | 870 | D |
Explanation of responses
- F1Convert without cost to shares of common stock on a one-for-one basis.
- F2Shares deemed surrendered in payment of tax liability resulting from vesting of restricted stock units.
- F3Restricted Stock Unit awarded on August 28, 2015.
- F4Vests in three approximately equal annual installments, beginning the first anniversary of the award date, subject to continued employment.