0001179110-21-003312.txt : 20210312 0001179110-21-003312.hdr.sgml : 20210312 20210312133541 ACCESSION NUMBER: 0001179110-21-003312 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210310 FILED AS OF DATE: 20210312 DATE AS OF CHANGE: 20210312 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOBAYASHI MICHAEL K CENTRAL INDEX KEY: 0001311099 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 21736558 MAIL ADDRESS: STREET 1: 4440 ROSEWOOD DRIVE CITY: PLESANTON STATE: CA ZIP: 94588 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: 0130 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 FORMER COMPANY: FORMER CONFORMED NAME: ROSS STORES INC DATE OF NAME CHANGE: 19920703 4 1 edgar.xml FORM 4 - X0306 4 2021-03-10 0 0000745732 ROSS STORES, INC. ROST 0001311099 KOBAYASHI MICHAEL K 5130 HACIENDA DRIVE DUBLIN CA 94568 0 1 0 0 President, Ops. & Technology Common Stock 2021-03-10 4 A 0 8226 0 A 107149 D Shares issued under the terms of the 2017 Equity Incentive Plan. Shares become vested as follows: 2,468 shares on March 21, 2025 and 5,758 shares on March 20, 2026. /s/ Ken Jew for Mike Kobayashi 2021-03-12