0001179110-16-030014.txt : 20160926 0001179110-16-030014.hdr.sgml : 20160926 20160926134212 ACCESSION NUMBER: 0001179110-16-030014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160922 FILED AS OF DATE: 20160926 DATE AS OF CHANGE: 20160926 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: 0131 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FASSIO JAMES S CENTRAL INDEX KEY: 0001238932 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 161901840 MAIL ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 4 1 edgar.xml FORM 4 - X0306 4 2016-09-22 0 0000745732 ROSS STORES INC ROST 0001238932 FASSIO JAMES S 5130 HACIENDA DRIVE DUBLIN CA 94568 0 1 0 0 President, Chief Dev. Officer Common Stock 2016-03-31 4 G 0 114 0 D 218987 D Common Stock 2016-06-30 4 G 0 106 0 D 219101 D Common Stock 2016-03-31 4 G 0 114 0 A 531300 I by Trust A Common Stock 2016-06-30 4 G 0 106 0 A 531406 I by Trust A Common Stock 2016-09-22 4 S 0 12000 63.35 D 519406 I by Trust A Common Stock 129728 I by Trust B Securities Beneficially Owned includes shares acquired pursuant to issuer's employee stock purchase plan in a transaction exempt under Rule 16b-3. Securities held in the name of James S. Fassio Revocable Trust. Securities held in the name of James S. Fassio 2012 Dynasty Irrevocable Trust. The reporting person contributed ROST common stock to an exchange fund in exchange for shares of the exchange fund in a transaction intended to comply with Rule 10b5-1(c). The ROST common stock was valued at $63.35 per share for the purposes of determining the number of shares of the exchange fund issued to the reporting person. /s/ John Call for James Fassio 2016-09-26