0001127602-16-068647.txt : 20161130
0001127602-16-068647.hdr.sgml : 20161130
20161130142746
ACCESSION NUMBER: 0001127602-16-068647
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161130
FILED AS OF DATE: 20161130
DATE AS OF CHANGE: 20161130
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DOLLAR TREE INC
CENTRAL INDEX KEY: 0000935703
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331]
IRS NUMBER: 541387365
STATE OF INCORPORATION: VA
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 500 VOLVO PARKWAY
STREET 2: N/A
CITY: CHESAPEAKE
STATE: VA
ZIP: 23320
BUSINESS PHONE: (757) 321-5000
MAIL ADDRESS:
STREET 1: 500 VOLVO PARKWAY
CITY: CHESAPEAKE
STATE: VA
ZIP: 23320
FORMER COMPANY:
FORMER CONFORMED NAME: DOLLAR TREE STORES INC
DATE OF NAME CHANGE: 19950117
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JEWETT JOSHUA R
CENTRAL INDEX KEY: 0001222823
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25464
FILM NUMBER: 162024979
MAIL ADDRESS:
STREET 1: P O BOX 1017
CITY: CHARLOTTE
STATE: NC
ZIP: 28201-1017
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-11-30
0000935703
DOLLAR TREE INC
DLTR
0001222823
JEWETT JOSHUA R
500 VOLVO PARKWAY
CHESAPEAKE
VA
23320
1
Chief Information Officer
Common Stock
2016-11-30
4
M
0
1974
76.97
A
6063
D
Common Stock
2016-11-30
4
M
0
2090
68.92
A
8153
D
Common Stock
2016-11-30
4
M
0
1875
67.95
A
10028
D
Common Stock
2016-11-30
4
S
0
434
88.6635
D
9594
D
Common Stock
2016-11-30
4
S
0
5732
88.5864
D
3862
D
Common Stock
2016-11-30
4
S
0
550
88.2943
D
3312
D
Stock Option (right to buy)
76.97
2016-11-30
4
M
0
1974
0
D
2024-10-14
Common Stock
1974
2961
D
Stock Option (right to buy)
68.92
2016-11-30
4
M
0
2090
0
D
2018-10-15
Common Stock
2090
2089
D
Stock Option (right to buy)
67.95
2016-11-30
4
M
0
1875
0
D
2017-10-09
Common Stock
1875
0
D
Represents the weighted average price for shares sold at the range between $88.5833 and $88.6. The filer will provide full information regarding the number of shares sold at each price upon request.
Pursuant to the Merger Agreement dated July 6, 2015, each option to purchase shares of Family Dollar common stock that was outstanding immediately prior to the Effective Time was converted into an option to purchase a number of shares of Dollar Tree common stock determined by multiplying the number of shares of Family Dollar common stock subject to such option by the Award Exchange Ratio of 1.000, at an exercise price per share determined by dividing the orginal per share exercise price of the option by the Award Exchange Ratio of 1.000.
Award granted on October 14, 2014.
Each option becomes exercisable with respect to 40% of the underlying shares on the second anniversary of grant and with respect to an additional 30% on each of the third and fourth anniversaries of grant.
Award was granted on October 15, 2013.
Award granted on October 9, 2012.
/s/ Shawnta Totten-Medley, attorney-in-fact for Mr. Jewett
2016-11-30