0001158449-21-000040.txt : 20210304
0001158449-21-000040.hdr.sgml : 20210304
20210304203357
ACCESSION NUMBER: 0001158449-21-000040
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210303
FILED AS OF DATE: 20210304
DATE AS OF CHANGE: 20210304
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: 21716154
MAIL ADDRESS:
STREET 1: 2635 EAST MILLBROOK ROAD
CITY: RALEIGH
STATE: NC
ZIP: 27604
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: 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_161490802398213.xml
FORM 4
X0306
4
2021-03-03
0
0001158449
ADVANCE AUTO PARTS INC
AAP
0001700153
Shepherd Jeffrey W
ADVANCE AUTO PARTS, INC.
2635 EAST MILLBROOK ROAD
RALEIGH
NC
27604
0
1
0
0
EVP, CFO
Common Stock
2021-03-03
4
M
0
1787
162.66
A
12150
D
Common Stock
2021-03-03
4
F
0
996
162.66
D
11154
D
Common Stock
2021-03-03
4
F
0
222
164.84
D
10932
D
In March 2018, the reporting person received an equity award which was subject to achieving certain predetermined financial performance targets subject to certification by the registrant's Compensation Committee. On March 3, 2021, the registrant's Compensation Committee determined that these performance conditions had been achieved at a level providing for a payout of 85.67% of the target award.
Represents shares withheld to satisfy taxes at vesting of the performance shares reported herein and the vesting of certain restricted stock units reported on a previously filed Form 4.
/s/ Amanda L. Keister, as Attorney-in-Fact for Jeffrey W Shepherd
2021-03-04