-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, OV4eId5tl2r+dr+Kc0FD9EN6RXtp90dOT1REB5gkOI1s38Dz5DX0zVCAzl2/3q60 YfkZahpibvdyQAMOF1xeJg== 0000935703-01-000009.txt : 20010223 0000935703-01-000009.hdr.sgml : 20010223 ACCESSION NUMBER: 0000935703-01-000009 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: DOLLAR TREE STORES INC CENTRAL INDEX KEY: 0000935703 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] IRS NUMBER: 541387365 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-50167 FILM NUMBER: 1542394 BUSINESS ADDRESS: STREET 1: 500 VOLVO PARKWAY STREET 2: NORFOLK COMMERCE PARK CITY: CHESAPEAKE STATE: VA ZIP: 23320 BUSINESS PHONE: 7573215000 MAIL ADDRESS: STREET 1: P.O. BOX 2500 CITY: NORFOLK STATE: VA ZIP: 23501-2500 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: PERRY J DOUGLAS CENTRAL INDEX KEY: 0001009270 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: P O BOX 2500 CITY: NORFOLK STATE: VA ZIP: 23501-2500 BUSINESS PHONE: 7578574600 MAIL ADDRESS: STREET 1: 2555 ELLSMERE AVE CITY: NORFOLK STATE: VA ZIP: 23513 SC 13G/A 1 0001.txt BENEFICIAL OWNERSHIP 12/31/00 (JDP) SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G/A Under the Securities Exchange Act of 1934 (Amendment No. 4)* Dollar Tree Stores, Inc. ----------------------------------------------------- (Name of Issuer) Common Stock ----------------------------------------------------- (Title of Class of Securities) 256747 10 6 ----------------------------------------------------- (CUSIP Number) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). Page 1 of 4 Pages CUSIP No. 256747 10 6 13G Page 2 of 4 Pages - ------------------------------------------------------------------------------ 1 NAME OF REPORTING PERSON J. Douglas Perry - ------------------------------------------------------------------------------ 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ------------------------------------------------------------------------------ 3 SEC USE ONLY - ------------------------------------------------------------------------------ 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States of America - ------------------------------------------------------------------------------ NUMBER OF 5 SOLE VOTING POWER SHARES 3,862,755 BENEFICIALLY -------------------------------------------------------------- OWNED BY 6 SHARED VOTING POWER EACH 130,900 REPORTING -------------------------------------------------------------- PERSON 7 SOLE DISPOSITIVE POWER WITH 3,862,755 -------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 130,900 - ------------------------------------------------------------------------------ 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 3,993,655 - ------------------------------------------------------------------------------ 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* Not applicable - ------------------------------------------------------------------------------ 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 3.6% - ------------------------------------------------------------------------------ 12 TYPE OF REPORTING PERSON* IN (Individual) - ------------------------------------------------------------------------------ *SEE INSTRUCTIONS BEFORE FILLING OUT Page 3 of 4 Pages Item 1. Issuer Dollar Tree Stores, Inc. 500 Volvo Parkway P.O. Box 2500 Norfolk, VA 23501-2500 Item 2. Filer J. Douglas Perry 500 Volvo Parkway P.O. Box 2500 Norfolk, VA 23501-2500 Common Stock CUSIP Number: 256747 10 6 Item 3. N/A Item 4. Ownership Includes 1,856,246 shares which are owned by trusts for the benefit of certain Perry family members, of which Mr. Perry is a trustee, 30,750 shares issuable under the Dollar Tree Stock Incentive Plan, and 130,900 shares owned by a private foundation over which Mr. Perry and his wife, Patricia W. Perry, exercise shared control. (a) Amount Beneficially Owned: See Item 9 on cover page (b) Percent of Class: See Item 11 on cover page (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: See Item 5 on cover page (ii) shared power to vote or to direct the vote: See Item 6 on cover page (iii) sole power to dispose or to direct the disposition of: See Item 7 on cover page (iv) shared power to dispose or to direct the disposition of: See Item 8 on cover page Item 5. Ownership of Five Percent or Less of a Class. If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following [X]. Item 6. Ownership of More than Five Percent on Behalf of Another Person. Not applicable. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company. Not applicable. Item 8. Identification and Classification of Members of the Group. Not applicable. Item 9. Notice of Dissolution of Group. Not applicable. Item 10. Certification. By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purpose or effect. Page 4 of 4 Pages Signature After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this Schedule 13G in connection with beneficial ownership of the common stock of Dollar Tree Stores, Inc. at December 31, 2000 is true, complete and correct. Date: February 14, 2001 By: /s/ J. Douglas Perry ----------------------- Signature -----END PRIVACY-ENHANCED MESSAGE-----