0001158449-21-000069.txt : 20210310
0001158449-21-000069.hdr.sgml : 20210310
20210310170731
ACCESSION NUMBER: 0001158449-21-000069
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210308
FILED AS OF DATE: 20210310
DATE AS OF CHANGE: 20210310
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: 21730676
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_161541402645965.xml
FORM 4
X0306
4
2021-03-08
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
2021-03-08
4
A
0
1416
176.50
A
12348
D
Stock Option (right to buy)
176.5
2021-03-08
4
A
0
5299
0
A
2031-03-07
Common Stock
5299.0
5299
D
The reported amount of time-based restricted stock units (RSUs) along with performance-based RSUs not reported on this Form 4, collectively, represent 25% and 50% portions, respectively, of a target equity award. The time-based RSUs are subject to time vesting in three approximately equal annual installments beginning one year from the grant date. The performance-based RSUs may vest on the third anniversary of the grant date, if the registrant achieves a certain pre-determined financial performance target, subject to certification by the registrant's Compensation Committee. In addition, if the registrant's financial performance exceeds the target level, the reporting person may receive additional shares up to a maximum of 200% of the target level grant of performance-based RSUs.
The option vests in three equal annual installments beginning on March 7, 2022.
/s/ Amanda L. Keister, as Attorney-in-Fact for Jeffrey W Shepherd
2021-03-10