0001158449-17-000063.txt : 20170307 0001158449-17-000063.hdr.sgml : 20170307 20170307161710 ACCESSION NUMBER: 0001158449-17-000063 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170301 FILED AS OF DATE: 20170307 DATE AS OF CHANGE: 20170307 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: Shepherd Jeffrey W CENTRAL INDEX KEY: 0001700153 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16797 FILM NUMBER: 17672149 MAIL ADDRESS: STREET 1: 2635 EAST MILLBROOK ROAD CITY: RALEIGH STATE: NC ZIP: 27604 4 1 wf-form4_148892141567716.xml FORM 4 X0306 4 2017-03-01 0 0001158449 ADVANCE AUTO PARTS INC AAP 0001700153 Shepherd Jeffrey W 5008 AIRPORT ROAD NW ROANOKE VA 24012 0 1 0 0 SVP, Controller & CAO Common Stock 2017-03-01 4 A 0 671 156.68 A 671 D Common Stock 2017-03-01 4 A 0 4787 156.68 A 5458 D The reported amount of time-based restricted stock units (RSUs) along with performance-based RSUs not reported on this Form 4, collectively, represent 30% and 70% portions, respectively, of a target equity award. The time-based RSUs are subject to time vesting in three approximately equal annual installments beginning one year from the grant date. The performance-based RSUs may vest on the third anniversary of the grant date, 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 RSUs up to a maximum of an additional 200% of the target level grant of performance-based RSUs. The reported amount of RSUs represents an equity award that is subject to time vesting in three approximately equal annual installments beginning one year from the grant date. /s/ Rachel E. Geiersbach, as Attorney-in-Fact for Jeffrey W Shepherd 2017-03-07