0001179110-18-008986.txt : 20180625 0001179110-18-008986.hdr.sgml : 20180625 20180625125823 ACCESSION NUMBER: 0001179110-18-008986 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180621 FILED AS OF DATE: 20180625 DATE AS OF CHANGE: 20180625 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: 18916530 MAIL ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 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: 0203 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 4 1 edgar.xml FORM 4 - X0306 4 2018-06-21 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 82899 D Common Stock 2018-06-21 4 S 0 87769 86.6100 D 486381 I Trust A Common Stock 2018-06-21 4 S 0 88000 86.5234 D 398381 I Trust A Common Stock 86930 I Trust B 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 $86.5234 per share for the purposes of determining the number of shares of the exchange fund issued to the reporting person. 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 $86.6100 per share for the purposes of determining the number of shares of the exchange fund issued to the reporting person. Securities held in the name of James S. Fassio Revocable Trust. Securities held in the name of James S. Fassio 2012 Dynasty Irrevocable Trust. /s/ John Call for James Fassio 2018-06-25