0001127602-23-000096.txt : 20230103 0001127602-23-000096.hdr.sgml : 20230103 20230103143054 ACCESSION NUMBER: 0001127602-23-000096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230101 FILED AS OF DATE: 20230103 DATE AS OF CHANGE: 20230103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLY EDWARD J III CENTRAL INDEX KEY: 0001160225 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25464 FILM NUMBER: 23501627 MAIL ADDRESS: STREET 1: CIT GROUP INC STREET 2: ONE CIT DRIVE CITY: LIVINGSTON STATE: NJ ZIP: 07039 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 INC DATE OF NAME CHANGE: 20080328 FORMER COMPANY: FORMER CONFORMED NAME: DOLLAR TREE STORES INC DATE OF NAME CHANGE: 19950117 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2023-01-01 0000935703 DOLLAR TREE, INC. DLTR 0001160225 KELLY EDWARD J III 500 VOLVO PARKWAY CHESAPEAKE VA 23320 1 Phantom Stock 2023-01-01 4 A 0 265.13 141.44 A Common Stock 265.13 265.13 D Each share of phantom stock represents the right to receive one share of Dollar Tree common stock, and cash for any fractional shares. Represents deferral of director fees under the 2013 Director Deferred Compensation Plan. Shares of phantom stock are payable in common stock following the earlier of the director's separation from the Board or the specified date of distribution pursuant to the director's deferral election. /s/ Derek R. Redmond, attorney-in-fact for Mr. Kelly, III 2023-01-03