0001158449-21-000199.txt : 20211004
0001158449-21-000199.hdr.sgml : 20211004
20211004181256
ACCESSION NUMBER: 0001158449-21-000199
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211001
FILED AS OF DATE: 20211004
DATE AS OF CHANGE: 20211004
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TRAVIS NIGEL
CENTRAL INDEX KEY: 0001187789
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16797
FILM NUMBER: 211304388
MAIL ADDRESS:
STREET 1: C/O BLOCKBUSTER INC
STREET 2: 1201 ELM ST #2100
CITY: DALLAS
STATE: TX
ZIP: 75270
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_163338555923818.xml
FORM 4
X0306
4
2021-10-01
0
0001158449
ADVANCE AUTO PARTS INC
AAP
0001187789
TRAVIS NIGEL
ADVANCE AUTO PARTS, INC.
2635 EAST MILLBROOK ROAD
RALEIGH
NC
27604
1
0
0
0
Common Stock
2021-10-01
4
A
0
17.941
208
A
4991.784
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 Nigel Travis
2021-10-04