0001179110-11-012904.txt : 20110902 0001179110-11-012904.hdr.sgml : 20110902 20110902170216 ACCESSION NUMBER: 0001179110-11-012904 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110901 FILED AS OF DATE: 20110902 DATE AS OF CHANGE: 20110902 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: 111074134 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 - X0304 4 2011-09-01 0 0000745732 ROSS STORES INC ROST 0001238926 BUSH MICHAEL J 4440 ROSEWOOD DR. BUILDING 4 PLEASANTON CA 94588 1 0 0 0 Common Stock 2011-09-01 4 M 0 2000 14.78 A 10629 D Non-Qualified Stock Option (right to buy) 14.78 2011-09-01 4 M 0 2000 0 D 2011-10-04 Common Stock 2000 0 D Grant to reporting person of an option which begins vesting six months from grant date ('Initial Vest Date'). On Initial Vest Date, grant vests and becomes exercisable as to 1/6 of shares granted and then vests and becomes exercisable as to 1/36 of shares granted per month thereafter. /s/Michael J. Bush 2011-09-01