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