0001158449-21-000159.txt : 20210706 0001158449-21-000159.hdr.sgml : 20210706 20210706165333 ACCESSION NUMBER: 0001158449-21-000159 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210702 FILED AS OF DATE: 20210706 DATE AS OF CHANGE: 20210706 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pertz Douglas A CENTRAL INDEX KEY: 0001065425 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16797 FILM NUMBER: 211074814 MAIL ADDRESS: STREET 1: 1801 BAYBERRY COURT CITY: RICHMOND STATE: VA ZIP: 23226 FORMER NAME: FORMER CONFORMED NAME: PERTZ DOUGLAS A DATE OF NAME CHANGE: 19980707 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ADVANCE AUTO PARTS INC CENTRAL INDEX KEY: 0001158449 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO & HOME SUPPLY STORES [5531] IRS NUMBER: 542049910 STATE OF INCORPORATION: DE FISCAL YEAR END: 0102 BUSINESS ADDRESS: STREET 1: 2635 EAST MILLBROOK ROAD CITY: RALEIGH STATE: NC ZIP: 27604 BUSINESS PHONE: 5403624911 MAIL ADDRESS: STREET 1: 5008 AIRPORT ROAD CITY: ROANOKE STATE: VA ZIP: 24012 4 1 wf-form4_162560480188034.xml FORM 4 X0306 4 2021-07-02 0 0001158449 ADVANCE AUTO PARTS INC AAP 0001065425 Pertz Douglas A ADVANCE AUTO PARTS, INC. 2635 EAST MILLBROOK ROAD RALEIGH NC 27604 1 0 0 0 Common Stock 2021-07-02 4 A 0 16.621 211.05 A 5541.042 D These shares of issuer common stock were acquired pursuant to a dividend reinvestment feature of the Advance Auto Parts, Inc. Deferred Stock Unit Plan for Non-Employee Directors and Selected Executives. /s/ Amanda L. Keister, as Attorney-in-Fact for Douglas A Pertz 2021-07-06