0001127602-23-020192.txt : 20230705 0001127602-23-020192.hdr.sgml : 20230705 20230705171433 ACCESSION NUMBER: 0001127602-23-020192 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230701 FILED AS OF DATE: 20230705 DATE AS OF CHANGE: 20230705 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCOTT BERTRAM L CENTRAL INDEX KEY: 0001221780 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25464 FILM NUMBER: 231070560 MAIL ADDRESS: STREET 1: C/O BECTON DICKERSON & CO STREET 2: 1 BECTON DR CITY: FRANKLIN LAKES STATE: NJ ZIP: 07417 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: 0203 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 X0407 4 2023-07-01 0000935703 DOLLAR TREE, INC. DLTR 0001221780 SCOTT BERTRAM L 500 VOLVO PARKWAY CHESAPEAKE VA 23320 1 0 Phantom Stock 2023-07-01 4 A 0 1045.3 143.50 A Common Stock 1045.3 1045.3 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 the annual director equity award under the Non-Employee Director Deferred Compensation Program. 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. Scott 2023-07-05