0001158449-15-000245.txt : 20151214 0001158449-15-000245.hdr.sgml : 20151214 20151214141948 ACCESSION NUMBER: 0001158449-15-000245 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151210 FILED AS OF DATE: 20151214 DATE AS OF CHANGE: 20151214 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: 5008 AIRPORT RD CITY: ROANOKE STATE: VA ZIP: 24012 BUSINESS PHONE: 5403624911 MAIL ADDRESS: STREET 1: 5008 AIRPORT RD CITY: ROANOKE STATE: VA ZIP: 24012 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carter William Harrison CENTRAL INDEX KEY: 0001518981 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16797 FILM NUMBER: 151285526 MAIL ADDRESS: STREET 1: ADVANCE AUTO PARTS, INC STREET 2: 5008 AIRPORT RD CITY: ROANOKE STATE: VA ZIP: 24012 4 1 wf-form4_145012077817854.xml FORM 4 X0306 4 2015-12-10 0 0001158449 ADVANCE AUTO PARTS INC AAP 0001518981 Carter William Harrison ADVANCE AUTO PARTS, INC 5008 AIRPORT RD ROANOKE VA 24012 0 1 0 0 SVP, Bus Dev & Integration Common Stock 2015-12-10 4 A 0 1546 151.76 A 6898 D Common Stock 2015-12-11 4 F 0 172 148.85 D 6726 D The reported amount of time-based restricted stock units (RSUs) along with performance-based stock appreciation rights (SARs) not reported on this Form 4, collectively, represent 67% and 33% portions, respectively, of a target equity award. The RSUs are subject to time vesting in three approximately equal annual installments beginning one year from the grant date. The performance-based SARs may vest on March 1, 2019, if the registrant achieves certain pre-determined financial performance targets, subject to certification by the registrant's Compensation Committee. In addition, if the registrant's financial performance exceeds the target levels, the reporting person may receive additional performance-based SARs up to a maximum of an additional 100% of the target level grant of performance-based SARs. Represents shares withheld to satisfy a tax withholding obligation upon the vesting of restricted stock units. /s/ Rachel E. Geiersbach, as Attorney-in-Fact for William H. Carter 2015-12-14