0001179110-16-021414.txt : 20160309 0001179110-16-021414.hdr.sgml : 20160309 20160309110647 ACCESSION NUMBER: 0001179110-16-021414 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160307 FILED AS OF DATE: 20160309 DATE AS OF CHANGE: 20160309 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: 161493676 MAIL ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 4 1 edgar.xml FORM 4 - X0306 4 2016-03-07 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 2016-03-07 4 M 0 18000 6.95250 A 291148 D Common Stock 2016-03-07 4 S 0 18000 58.23450 D 273148 D Common Stock 495451 I by Trust A Common Stock 129728 I by Trust B Non-Qualified Stock Option (right to buy) 6.95250 2016-03-07 4 M 0 18000 0 D 2016-03-16 Common Stock 18000 18000 D The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $58.00 to $58.68, inclusive. The reporting person undertakes to provide to Ross Stores, Inc., any security holder of Ross Stores, Inc., and to the staff of the Securities and Exchange Commission upon request, full information regarding the numbers of shares sold at each separate price within this price range. Securities held in the name of James S. Fassio Revocable Trust. Securities held in the name of James S. Fassio 2012 Dynasty Irrevocable Trust. 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. The Securities Beneficially Owned reflects a 2:1 stock split effected in the form of a stock dividend paid on 6/11/2015 to all holders of record on 4/22/15. /s/ John Call for James Fassio 2016-03-09