Edgar Filing: ROSS STORES INC

Ownership Submission

FORM 5

	Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
	Form 3 Holdings Reported
	Form 4 Transactions Reported

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person ^*

RENTLER BARBARA

2. Issuer Name and Ticker or Trading Symbol
ROSS STORES INC [ROST]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

__X__ Director	_____ 10% Owner
__X__ Officer (give title below)	_____ Other (specify below)
Chief Executive Officer

(Last)

(First)

(Middle)

5130 HACIENDA DRIVE

3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
01/31/2015

(Street)

DUBLIN,Â CAÂ 94568

4. If Amendment, Date Original Filed(Month/Day/Year)

6. Individual or Joint/Group Reporting
(check applicable line)
_X_ Form Filed by One Reporting Person
___ Form Filed by More than One Reporting Person

(City)

(State)

(Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)	4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
1.Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	Â	Â	3	Â	Â	Â	Â	D	Â
Common Stock	04/02/2001	Â	P4⁽³⁾	52 ⁽⁴⁾ ⁽⁵⁾	A	$ 4.7655	354,445	D	Â
Common Stock	07/02/2001	Â	P4⁽³⁾	40 ⁽⁴⁾ ⁽⁶⁾	A	$ 6.165	354,485	D	Â
Common Stock	10/01/2001	Â	P4⁽³⁾	34 ⁽⁴⁾ ⁽⁷⁾	A	$ 7.5125	354,519	D	Â
Common Stock	01/02/2002	Â	P4⁽³⁾	38 ⁽⁴⁾ ⁽⁸⁾	A	$ 8.1675	354,557	D	Â
Common Stock	04/01/2002	Â	P4⁽³⁾	39 ⁽⁴⁾ ⁽⁹⁾	A	$ 9.0125	354,596	D	Â
Common Stock	07/01/2002	Â	P4⁽³⁾	35 ⁽⁴⁾ ⁽¹⁰⁾	A	$ 10.035	354,631	D	Â
Common Stock	10/01/2002	Â	P4⁽³⁾	40 ⁽⁴⁾ ⁽⁶⁾	A	$ 8.8125	354,671	D	Â
Common Stock	01/02/2003	Â	P4	33 ⁽⁴⁾ ⁽¹¹⁾	A	$ 10.8075	354,704	D	Â
Common Stock	04/01/2003	Â	P4⁽³⁾	47 ⁽⁴⁾ ⁽¹²⁾	A	$ 9.125	354,751	D	Â
Common Stock	07/01/2003	Â	P4⁽³⁾	39 ⁽⁴⁾ ⁽⁹⁾	A	$ 10.7525	354,790	D	Â
Common Stock	10/01/2003	Â	P4⁽³⁾	36 ⁽⁴⁾ ⁽¹³⁾	A	$ 12.06	354,826 ⁽¹⁴⁾	D	Â

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

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SEC 2270 (9-02)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security
(Instr. 3)

2. Conversion or Exercise Price of Derivative Security

3. Transaction Date (Month/Day/Year)

3A. Deemed Execution Date, if any (Month/Day/Year)

4. Transaction Code
(Instr. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)

6. Date Exercisable and Expiration Date
(Month/Day/Year)

7. Title and Amount of Underlying Securities
(Instr. 3 and 4)

8. Price of Derivative Security
(Instr. 5)

9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year
(Instr. 4)

10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)

11. Nature of Indirect Beneficial Ownership
(Instr. 4)

(A)

(D)

Date Exercisable

Expiration Date

Title

Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address	Relationships
Reporting Owner Name / Address	Director	10% Owner	Officer	Other
RENTLER BARBARA 5130 HACIENDA DRIVE DUBLIN,Â CAÂ 94568	Â X	Â	Â Chief Executive Officer	Â

Signatures

/s/John Call for Barbara Rentler		12/04/2015
^**Signature of Reporting Person		Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 4(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1)	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.
(2)	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.
(3)	This resulted in a matching transaction with a nominal short swing profit, which has been paid over to the Company.
(4)	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.
(5)	The original (pre-split) number of additional shares of common stock acquired was 13.
(6)	The original (pre-split) number of additional shares of common stock acquired was 10.
(7)	The original (pre-split) number of additional shares of common stock acquired was 8.5.
(8)	The original (pre-split) number of additional shares of common stock acquired was 9.5
(9)	The original (pre-split) number of additional shares of common stock acquired was 9.75.
(10)	The original (pre-split) number of additional shares of common stock acquired was 8.75.
(11)	The original (pre-split) number of additional shares of common stock acquired was 8.25.
(12)	The original (pre-split) number of additional shares of common stock acquired was 11.75.
(13)	The original (pre-split) number of additional shares of common stock acquired was 9.
(14)	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.

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