0001179110-17-004706.txt : 20170316 0001179110-17-004706.hdr.sgml : 20170316 20170316150632 ACCESSION NUMBER: 0001179110-17-004706 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170314 FILED AS OF DATE: 20170316 DATE AS OF CHANGE: 20170316 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ROSS STORES INC CENTRAL INDEX KEY: 0000745732 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-FAMILY CLOTHING STORES [5651] IRS NUMBER: 941390387 STATE OF INCORPORATION: DE FISCAL YEAR END: 0203 BUSINESS ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 BUSINESS PHONE: 9259654400 MAIL ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BALMUTH MICHAEL CENTRAL INDEX KEY: 0001238922 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14678 FILM NUMBER: 17694143 MAIL ADDRESS: STREET 1: 5130 HACIENDA DRIVE CITY: DUBLIN STATE: CA ZIP: 94568 4 1 edgar.xml FORM 4 - X0306 4 2017-03-14 0 0000745732 ROSS STORES INC ROST 0001238922 BALMUTH MICHAEL 5130 HACIENDA DRIVE DUBLIN CA 94568 1 1 0 0 Chairman, Executive Common Stock 2017-03-14 4 A 0 84997 0 A 145666 D Common Stock 2017-03-14 4 S 0 51207 67.293 D 94459 D Shares issued pursuant to settlement of a performance share award under the terms of the 2008 Equity Incentive Plan. Shares become vested as follows: 25,499 shares vest as of March 14, 2017, 25,499 shares vest as of March 12, 2018, and 33,999 shares vest as of May 31, 2018. The price reported is a weighted average price. The shares were sold in multiple transactions at prices ranging from $67.08 to $67.46, inclusive. The reporting person undertakes to provide to Ross Stores, Inc., any security holder of Ross Stores, Inc., and to the staff of the Securities and Exchange Commission upon request, full information regarding the numbers of shares sold at each separate price within this price range. /s/ Ken Jew for Michael Balmuth 2017-03-16