0001158449-18-000171.txt : 20180911 0001158449-18-000171.hdr.sgml : 20180911 20180911140127 ACCESSION NUMBER: 0001158449-18-000171 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180820 FILED AS OF DATE: 20180911 DATE AS OF CHANGE: 20180911 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TRAVIS NIGEL CENTRAL INDEX KEY: 0001187789 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16797 FILM NUMBER: 181064636 MAIL ADDRESS: STREET 1: C/O BLOCKBUSTER INC STREET 2: 1201 ELM ST #2100 CITY: DALLAS STATE: TX ZIP: 75270 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: 1230 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 4 1 wf-form4_153668886841316.xml FORM 4 X0306 4 2018-08-20 0 0001158449 ADVANCE AUTO PARTS INC AAP 0001187789 TRAVIS NIGEL ADVANCE AUTO PARTS 5008 AIRPORT ROAD NW ROANOKE VA 24012 1 0 0 0 Common Stock 2018-08-20 4 A 0 642.46 A 1892.46 D These deferred stock units, which will be converted to shares of issuer common stock at the time of distribution, were awarded under the Advance Auto Parts, Inc. Deferred Stock Unit Plan for Non-Employee Directors and Selected Executives. These shares will vest on May 29, 2019 and will be distributed on a pro-rata basis if board service ends prior to the vesting date. Otherwise, these shares will be distributed to the reporting person at the end of the director's board service. /s/ Rachel E. Geiersbach, as Attorney-in-Fact for Nigel Travis 2018-09-11