0001158449-19-000102.txt : 20190516
0001158449-19-000102.hdr.sgml : 20190516
20190516133431
ACCESSION NUMBER: 0001158449-19-000102
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190515
FILED AS OF DATE: 20190516
DATE AS OF CHANGE: 20190516
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: 19831644
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: 1229
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_155802805036488.xml
FORM 4
X0306
4
2019-05-15
0
0001158449
ADVANCE AUTO PARTS INC
AAP
0001187789
TRAVIS NIGEL
ADVANCE AUTO PARTS
2635 EAST MILLBROOK ROAD
RALEIGH
NC
27604
1
0
0
0
Common Stock
2019-05-15
4
A
0
994.67
A
2887.824
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 1, 2020 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
2019-05-16