1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Restricted Stock Unit
(1)
|
10/14/2017(2)
|
10/14/2017 |
Common Stock
|
1,684
|
$
0
(3)
|
D
|
Â
|
Restricted Stock Unit
|
08/28/2016(4)(5)
|
08/28/2016 |
Common Stock
|
2,607
|
$
0
(3)
|
D
|
Â
|
Stock Option (right to buy)
(6)
|
Â
(7)(8)
|
10/04/2016 |
Common Stock
|
0
|
$
51.49
|
D
|
Â
|
Stock Option (right to buy)
(6)
|
Â
(8)(9)
|
10/09/2017 |
Common Stock
|
3,750
|
$
67.95
|
D
|
Â
|
Stock Option (right to buy)
(6)
|
Â
(8)(10)
|
10/15/2018 |
Common Stock
|
6,965
|
$
68.92
|
D
|
Â
|
Stock Option (right to buy)
(6)
|
Â
(8)(11)
|
10/14/2024 |
Common Stock
|
4,935
|
$
76.97
|
D
|
Â
|
* |
If the form is filed by more than one reporting person, see Instruction 5(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) |
Pursuant to the Merger Agreement, on July 6, 2015, the outstanding restricted stock unit award granted on October 14, 2014 under Family Dollar equity award policy, was coverted into a restricted stock unit award in respect of a number of shares of Dollar Tree common stock determined by multiplying the number of shares of Family Dollar stock by the Award Exchange Ratio of 1.0000. |
(2) |
Restricted Stock Unit granted on October 14, 2014 and will fully vest on the third anniversary of grant date. |
(3) |
Convert without cost to shares of common stock on a one-for-one basis. |
(4) |
Restricted Stock Unit awarded on August 28, 2015. |
(5) |
Vests in three approximately equal annual installments, beginning the first anniversary of the award date, subject to continued employment. |
(6) |
Pursuant to the Merger Agreement dated July 6, 2015, each option to purchase shares of Family Dollar common stock that was outstanding immediately prior to the Effective Time was converted into an option to purchase a number of shares of Dollar Tree common stock determined by multiplying the number of shares of Family Dollar common stock subject to such option by the Award Exchange Ratio of 1.000, at an exercise price per share determined by dividing the orginal per share exercise price of the option by the Award Exchange Ratio of 1.000. |
(7) |
Award granted on October 4, 2011. |
(8) |
Each option becomes exercisable with respect to 40% of the underlying shares on the second anniversary of grant and with respect to an additional 30% on each of the third and fourth anniversaries of grant. |
(9) |
Award granted on October 9, 2012. |
(10) |
Award was granted on October 15, 2013. |
(11) |
Award granted on October 14, 2014. |