0001179110-21-005750.txt : 20210521 0001179110-21-005750.hdr.sgml : 20210521 20210521190739 ACCESSION NUMBER: 0001179110-21-005750 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210519 FILED AS OF DATE: 20210521 DATE AS OF CHANGE: 20210521 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BUSH MICHAEL J CENTRAL INDEX KEY: 0001238926 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 21950659 MAIL ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ROSS STORES, INC. CENTRAL INDEX KEY: 0000745732 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FAMILY CLOTHING STORES [5651] IRS NUMBER: 941390387 STATE OF INCORPORATION: DE FISCAL YEAR END: 0129 BUSINESS ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 BUSINESS PHONE: 9259654400 MAIL ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 FORMER COMPANY: FORMER CONFORMED NAME: ROSS STORES INC DATE OF NAME CHANGE: 19920703 4 1 edgar.xml FORM 4 - X0306 4 2021-05-19 0 0000745732 ROSS STORES, INC. ROST 0001238926 BUSH MICHAEL J 5130 HACIENDA DRIVE DUBLIN CA 94568 1 0 0 0 Common Stock 2021-05-19 4 A 0 1279 0 A 33771 D Shares issued under the terms of the 2017 Equity Incentive Plan. Shares become vested as follows: 1/3 on May 24, 2022, 1/3 on May 24, 2023 and 1/3 on May 24, 2024. /s/ Ken Jew for Michael Bush 2021-05-21