ROSS STORES, INC. — Director's Dealing 2015

Dec 4, 2015

SEC Form 5 — Annual Statement of Changes in Beneficial Ownership

Issuer: ROSS STORES INC (ROST)
CIK: 0000745732
Period of Report: 2015-01-31

Reporting Person: RENTLER BARBARA (Director, Chief Executive Officer)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2001-04-02	Common Stock	P	52	$4.7655	Acquired	354445	Direct
2001-07-02	Common Stock	P	40	$6.165	Acquired	354485	Direct
2001-10-01	Common Stock	P	34	$7.5125	Acquired	354519	Direct
2002-01-02	Common Stock	P	38	$8.1675	Acquired	354557	Direct
2002-04-01	Common Stock	P	39	$9.0125	Acquired	354596	Direct
2002-07-01	Common Stock	P	35	$10.035	Acquired	354631	Direct
2002-10-01	Common Stock	P	40	$8.8125	Acquired	354671	Direct
2003-01-02	Common Stock	P	33	$10.8075	Acquired	354704	Direct
2003-04-01	Common Stock	P	47	$9.125	Acquired	354751	Direct
2003-07-01	Common Stock	P	39	$10.7525	Acquired	354790	Direct
2003-10-01	Common Stock	P	36	$12.06	Acquired	354826	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	354393	Direct

Footnotes

F1: The amount shown has been corrected to include an additional 215 shares that are held by the reporting person at the end of the latest fiscal year (FYE January 31, 2015) and that were inadvertently omitted from the Form 3 filed on 3/22/2001. The underlying shares were beneficially and directly owned at the time the reporting person became an officer for purposes of reporting under Sec. 16(a). Subsequent to the original Form 3 filing date and through January 31, 2015, there have been two stock splits. Each split was 2:1. The original (pre-split) number of additional shares of common stock beneficially owned and that should have been reported in the Form 3 was 53.75. The amount shown is the resulting number of shares held at the end of the latest fiscal year, taking into account such additional shares and all other transactions by the reporting person through January 31, 2015, other than the additional transactions reported below on this Form 5.

F2: Securities Beneficially Owned includes 245 shares acquired during the prior fiscal year pursuant to issuer's employee stock purchase plan in a transaction exempt under Rule 16b-3.

F3: This resulted in a matching transaction with a nominal short swing profit, which has been paid over to the Company.

F4: Amount shown is the resulting number of shares held at the end of the latest fiscal year (FYE January 31, 2015). The underlying shares were beneficially acquired on the transaction date shown in column 2, as a result of purchases under a broker-administered dividend reinvestment program. Subsequent to the original acquisition date and through January 31, 2015, there have been two stock splits (each paid in the form of a stock dividend). Each split was 2:1.

F5: The original (pre-split) number of additional shares of common stock acquired was 13.

F6: The original (pre-split) number of additional shares of common stock acquired was 10.

F7: The original (pre-split) number of additional shares of common stock acquired was 8.5.

F8: The original (pre-split) number of additional shares of common stock acquired was 9.5

F9: The original (pre-split) number of additional shares of common stock acquired was 9.75.

F10: The original (pre-split) number of additional shares of common stock acquired was 8.75.

F11: The original (pre-split) number of additional shares of common stock acquired was 8.25.

F12: The original (pre-split) number of additional shares of common stock acquired was 11.75.

F13: The original (pre-split) number of additional shares of common stock acquired was 9.

F14: Amounts of securities beneficially owned as reported in this Form 5 are as of the end of the latest fiscal year (FYE January 31, 2015). They are not adjusted to reflect the 2:1 stock split (in the form of a 100 percent stock dividend) paid on June 11, 2015 to stockholders of record as of April 22, 2015.