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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 2270 (9-02) |
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) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SASSER BOB 500 VOLVO PARKWAY CHESAPEAKE, VA 23320 |
X | Executive Chairman |
/s/ Shawnta Totten-Medley, attorney-in-fact for Mr. Sasser | 03/30/2021 | |
**Signature of Reporting Person | Date |
* | 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) | On December 8, 2020, the reporting person made a gift of 13,583 shares of DLTR common stock to a trust for the benefit of his son. The spouse of the reporting person is the trustee of the son's trust. |
(2) | On December 8, 2020, the reporting person made gifts of 9,055 shares of Dollar Tree common stock to each of three trusts for the benefit of his grandchildren. The reporting person and his spouse are not trustees or beneficiaries of these trusts, and the reporting person disclaims beneficial ownership of the shares held by these trusts. |
(3) | On December 9, 2020, a trust for the spouse of the reporting person made a gift of 13,583 shares of Dollar Tree common stock to a trust for the benefit of their daughter. The reporting person is the trustee of the daughter's trust. |