0001127602-17-029817.txt : 20171013
0001127602-17-029817.hdr.sgml : 20171013
20171013173605
ACCESSION NUMBER: 0001127602-17-029817
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171012
FILED AS OF DATE: 20171013
DATE AS OF CHANGE: 20171013
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BROCK MACON F JR
CENTRAL INDEX KEY: 0001008146
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25464
FILM NUMBER: 171137255
MAIL ADDRESS:
STREET 1: 500 VOLVO PARKWAY
CITY: CHESAPEAKE
STATE: VA
ZIP: 23320
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: 0128
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
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-10-12
0000935703
DOLLAR TREE INC
DLTR
0001008146
BROCK MACON F JR
500 VOLVO PARKWAY
CHESAPEAKE
VA
23320
1
1
Chairman Emeritus
Common Stock
2017-10-12
5
G
0
E
2500
0
D
750785
I
Spouse
Common Stock
2017-10-12
5
G
0
E
43850
0
D
1084945
D
Common Stock
2017-10-13
4
M
0
63000
12.6634
A
1147945
D
Common Stock
2017-10-13
4
S
0
63000
91.0355
D
1084945
D
Common Stock
78677
I
2015-3 GRAT (JPB)
Common Stock
78677
I
2015-3 GRAT (MFB)
Common Stock
189408
I
2017-2 GRAT (JPB)
Common Stock
189408
I
2017-2 GRAT (MFB)
Common Stock
488790
I
Trusts (Descendants')
Stock Option (right to buy)
12.6634
2017-10-13
4
M
0
63000
0
D
2008-05-29
2018-05-29
Common Stock
63000
0
D
Gift made without consideration.
Represents the average weighted price for shares sold at a range between $90.00 and $91.0355. The filer will provide full information regarding the number of shares sold at each price upon request.
Immediately exercisable.
Expires upon termination, with certain grace periods, or ten years after award, whichever is less.
/s/, Shawnta Totten-Medley, attorney-in-fact for Mr. Brock
2017-10-13