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