0001023128-21-000121.txt : 20211102 0001023128-21-000121.hdr.sgml : 20211102 20211102173639 ACCESSION NUMBER: 0001023128-21-000121 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211101 FILED AS OF DATE: 20211102 DATE AS OF CHANGE: 20211102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEBOER SIDNEY B CENTRAL INDEX KEY: 0001170769 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14733 FILM NUMBER: 211372721 MAIL ADDRESS: STREET 1: 234 VISTA ST. CITY: ASHLAND STATE: OR ZIP: 97520 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LITHIA MOTORS INC CENTRAL INDEX KEY: 0001023128 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 930572810 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 150 NORTH BARTLETT STREET CITY: MEDFORD STATE: OR ZIP: 97501 BUSINESS PHONE: 541-776-6401 MAIL ADDRESS: STREET 1: 150 NORTH BARTLETT STREET CITY: MEDFORD STATE: OR ZIP: 97501 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2021-11-01 0 0001023128 LITHIA MOTORS INC LAD 0001170769 DEBOER SIDNEY B 150 N. BARTLETT MEDFORD OR 97501 1 0 0 0 Common Stock 2021-11-01 2021-11-01 4 F 0 33 319.22 D 55314 D Common Stock 998 I by Spouse Common Stock 112431 I by Trust Shares withheld for payment of taxes on vesting of restricted stock units; not an open market transaction. The reporting person is the settlor of the Sidney B. DeBoer Trust, and the Sidney B. DeBoer Trust is revocable by the reporting person at any time at the reporting person's option. The Sidney B. DeBoer Trust is a member and sole manager of DeBoer Family LLC which is the direct owner of the securities shown in row 5 of column 5 of Table I. By: Kevin Cundick; Attorney-in-Fact 2021-11-02