0001127602-19-014553.txt : 20190403 0001127602-19-014553.hdr.sgml : 20190403 20190403151836 ACCESSION NUMBER: 0001127602-19-014553 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190330 FILED AS OF DATE: 20190403 DATE AS OF CHANGE: 20190403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jacobs David A. CENTRAL INDEX KEY: 0001546549 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25464 FILM NUMBER: 19728760 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: 0201 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 2019-03-30 0000935703 DOLLAR TREE INC DLTR 0001546549 Jacobs David A. 500 VOLVO PARKWAY CHESAPEAKE VA 23320 1 Chief Strategy Officer Common Stock 2019-03-30 4 M 0 3160 0 A 15432 D Common Stock 2019-03-30 4 F 0 1426 105.04 D 14006 D Common Stock 2019-03-31 4 M 0 3610 0 A 17616 D Common Stock 2019-03-31 4 F 0 1487 105.04 D 16129 D Restricted Stock Unit 0 2019-03-30 4 M 0 3160 D 2019-03-30 2019-03-30 Common Stock 3160 6320 D Restricted Stock Unit 0 2019-03-31 4 M 0 3610 D 2018-03-31 2018-03-31 Common Stock 3610 3610 D Portion vested at anniversary of three-year award. Convert without cost to shares of common stock on a one-for-one basis. Shares deemed surrendered in payment of tax liability resulting from vesting of restricted stock units. /s/ Shawnta Totten-Medley, attorney-in-fact for David A. Jacobs 2019-04-03