SEC Form 4 · accession 0001127602-17-029817
DOLLAR TREE, INC. · DLTR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Macon F Brock Jr.
Officer — Chairman Emeritus · Director
Period of report
Oct 12, 2017
Accepted (ET)
Oct 13, 2017 · 5:36 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 | Oct 12, 2017 | G | 2,500 | $0.00 | D | 750,785 | I | Spouse |
| Common StockF1 | Oct 12, 2017 | G | 43,850 | $0.00 | D | 1,084,945 | D | |
| Common Stock | Oct 13, 2017 | M | 63,000 | $12.6634 | A | 1,147,945 | D | |
| Common StockF2 | Oct 13, 2017 | S | 63,000 | $91.0355 | D | 1,084,945 | D | |
| Common Stock | holding | — | — | — | 78,677 | I | 2015-3 GRAT (JPB) | |
| Common Stock | holding | — | — | — | 78,677 | I | 2015-3 GRAT (MFB) | |
| Common Stock | holding | — | — | — | 189,408 | I | 2017-2 GRAT (JPB) | |
| Common Stock | holding | — | — | — | 189,408 | I | 2017-2 GRAT (MFB) | |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F3,F4 | $12.6634 | Oct 13, 2017 | M | 63,000 | D | May 29, 2008 | May 29, 2018 | Common Stock | 63,000 | 0 | D |
Explanation of responses
- F1Gift made without consideration.
- F2Represents the average weighted price for shares sold at a range between $90.00 and $91.0355. The filer will provide full information regarding the number of shares sold at each price upon request.
- F3Immediately exercisable.
- F4Expires upon termination, with certain grace periods, or ten years after award, whichever is less.