0001158449-16-000308.txt : 20160303 0001158449-16-000308.hdr.sgml : 20160303 20160303165858 ACCESSION NUMBER: 0001158449-16-000308 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160301 FILED AS OF DATE: 20160303 DATE AS OF CHANGE: 20160303 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: Livesay Jill A CENTRAL INDEX KEY: 0001456533 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16797 FILM NUMBER: 161482078 MAIL ADDRESS: STREET 1: ADVANCE AUTO PARTS, INC. STREET 2: 5008 AIRPORT RD CITY: ROANOKE STATE: VA ZIP: 24012 4 1 wf-form4_145704232782217.xml FORM 4 X0306 4 2016-03-01 0 0001158449 ADVANCE AUTO PARTS INC AAP 0001456533 Livesay Jill A ADVANCE AUTO PARTS, INC. 5008 AIRPORT RD ROANOKE VA 24012 0 1 0 0 SVP, Controller & CAO Common Stock 2016-03-01 4 A 0 156 A 6535 D Common Stock 2016-03-01 4 A 0 3780 A 10315 D Common Stock 2016-03-01 4 F 0 1324 153.35 D 8991 D Stock Appreciation Rights 73.17 2016-03-01 4 A 0 1781 0 A 2016-03-01 2019-12-03 Common Stock 1781.0 1781 D As previously reported, on December 3, 2012 the reporting person received an equity award, a portion of which was subject to the registrant achieving certain pre-determined financial performance targets subject to certification by the registrant's Compensation Committee. On March 1, 2016 the registrant's Compensation Committee determined that these performance conditions had been achieved at a level providing for a payout of 109% of the target award. The reported amount of common stock and stock appreciation rights (SARs) are fully vested and collectively represent the final vesting under this award. On March 1, 2013, May 28, 2013 and February 10, 2014, the reporting person received equity awards which were subject to achieving certain predetermined financial performance targets subject to certification by the registrant's Compensation Committee. On March 1, 2016, the registrant's Compensation Committee determined that these performance conditions had been achieved at a level providing for a payout of 100% of the target award. Represents shares withheld to satisfy a tax withholding obligation upon the vesting of performance restricted stock units. /s/ Rachel E. Geiersbach, as Attorney-in-Fact for Jill A. Livesay 2016-03-03