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