ROSS STORES, INC. — Director's Dealing 2016

Sep 26, 2016

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: ROSS STORES INC (ROST)
CIK: 0000745732
Period of Report: 2016-09-22

Reporting Person: FASSIO JAMES S (President, Chief Dev. Officer)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2016-03-31	Common Stock	G	114	—	Disposed	218987	Direct
2016-06-30	Common Stock	G	106	—	Disposed	219101	Direct
2016-03-31	Common Stock	G	114	—	Acquired	531300	Indirect
2016-06-30	Common Stock	G	106	—	Acquired	531406	Indirect
2016-09-22	Common Stock	S	12000	$63.35	Disposed	519406	Indirect

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	129728	Indirect

Footnotes

F1: Securities Beneficially Owned includes shares acquired pursuant to issuer's employee stock purchase plan in a transaction exempt under Rule 16b-3.

F2: Securities held in the name of James S. Fassio Revocable Trust.

F3: Securities held in the name of James S. Fassio 2012 Dynasty Irrevocable Trust.

F4: The reporting person contributed ROST common stock to an exchange fund in exchange for shares of the exchange fund in a transaction intended to comply with Rule 10b5-1(c). The ROST common stock was valued at $63.35 per share for the purposes of determining the number of shares of the exchange fund issued to the reporting person.