0001158449-19-000184.txt : 20191007 0001158449-19-000184.hdr.sgml : 20191007 20191007153455 ACCESSION NUMBER: 0001158449-19-000184 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191004 FILED AS OF DATE: 20191007 DATE AS OF CHANGE: 20191007 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BERGSTROM JOHN F CENTRAL INDEX KEY: 0001196937 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16797 FILM NUMBER: 191140815 MAIL ADDRESS: STREET 1: C/O BERGSTROM CORP STREET 2: 150 NORTH GREEN BAY RD CITY: NEENAY STATE: WI ZIP: 54956 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: 1228 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_157047687256201.xml FORM 4 X0306 4 2019-10-04 0 0001158449 ADVANCE AUTO PARTS INC AAP 0001196937 BERGSTROM JOHN F ADVANCE AUTO PARTS, INC. 2635 EAST MILLBROOK ROAD RALEIGH NC 27604 1 0 0 0 Common Stock 2019-10-04 4 A 0 5.344 159.94 A 19414.211 D These shares of issuer common stock were acquired pursuant to a dividend reinvestment feature of the Advance Auto Parts, Inc. Deferred Stock Unit Plan for Non-Employee Directors and Selected Executives. /s/ Tammy Finley, as Attorney-in-Fact for John F. Bergstrom 2019-10-07