-----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, IYgXqK3dbVDSSTlVyaZg60VoLY3nqYL7KBLYliWd+XjHDglKn0Zd/SqQ54I2QyT7 PUaAT77otbzDb7zbUXlcBg== 0001179110-05-001036.txt : 20050112 0001179110-05-001036.hdr.sgml : 20050112 20050112151558 ACCESSION NUMBER: 0001179110-05-001036 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050110 FILED AS OF DATE: 20050112 DATE AS OF CHANGE: 20050112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ASKANAS MARK S CENTRAL INDEX KEY: 0001238919 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 05525756 BUSINESS ADDRESS: STREET 1: ROSS STORES INC STREET 2: 8333 CENTRAL AVENUE CITY: NEWARK STATE: CA ZIP: 94560 BUSINESS PHONE: 5105054400 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: 4440 ROSEWOOD DRIVE CITY: PLEASANTON STATE: CA ZIP: 94588-3050 BUSINESS PHONE: 9259654400 MAIL ADDRESS: STREET 1: 4440 ROSEWOOD DRIVE CITY: PLEASANTON STATE: CA ZIP: 94588-3050 4 1 edgar.xml FORM 4 - X0202 4 2005-01-10 0 0000745732 ROSS STORES INC ROST 0001238919 ASKANAS MARK S 4440 ROSEWOOD DRIVE, BUILDING 4 PLEASANTON CA 94588 0 1 0 0 General Counsel Senior VP Common Stock 2005-01-10 4 F 0 10895 28.30170 D 24369 D Common Stock 2005-01-10 4 S 0 19105 28.30170 D 5264 D Common Stock 2005-01-10 4 M 0 16750 18.89000 A 22014 D Common Stock 2005-01-10 4 S 0 16750 28.30170 D 5264 D Common Stock 2005-01-10 4 M 0 7000 19.02000 A 12264 D Common Stock 2005-01-10 4 S 0 7000 28.30170 D 5264 D Non-Qualified Stock Option 18.89000 2005-01-10 4 M 0 16750 0.00 D 2012-03-21 Common Stock 16750 3250 D Non-Qualified Stock Option 19.02000 2005-01-10 4 M 0 7000 0.00 D 2013-03-20 Common Stock 7000 14000 D Option is exercisable as it vests in monthly increments beginning the first full month from date of grant with a vested ratio of 1/72 for the first year, 2/72 for the second year and 3/72 for the third year. /s/ Mark Askanas General Counsel and Senior Vice President Human Resources 2005-01-11 -----END PRIVACY-ENHANCED MESSAGE-----