0001158449-22-000078.txt : 20220303 0001158449-22-000078.hdr.sgml : 20220303 20220303183240 ACCESSION NUMBER: 0001158449-22-000078 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220301 FILED AS OF DATE: 20220303 DATE AS OF CHANGE: 20220303 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: 22711041 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: 0101 BUSINESS ADDRESS: STREET 1: 4200 SIX FORKS ROAD CITY: RALEIGH STATE: NC ZIP: 27609 BUSINESS PHONE: 5403624911 MAIL ADDRESS: STREET 1: 4200 SIX FORKS ROAD CITY: RALEIGH STATE: NC ZIP: 27609 4 1 wf-form4_164635032515665.xml FORM 4 X0306 4 2022-03-01 0 0001158449 ADVANCE AUTO PARTS INC AAP 0001700153 Shepherd Jeffrey W ADVANCE AUTO PARTS, INC. 4200 SIX FORKS ROAD RALEIGH NC 27609 0 1 0 0 EVP, CFO Common Stock 2022-03-01 4 M 0 2902 201.17 A 16905 D Common Stock 2022-03-01 4 F 0 957 201.17 D 15948 D Common Stock 2022-03-01 4 F 0 174 201.17 D 15774 D In March 2019, 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. Effective March 1, 2022, the registrant's Compensation Committee determined that these performance conditions had been achieved at a level providing for a payout of 117% of the target award. Represents shares withheld to satisfy taxes at vesting of the performance shares reported herein. Represents shares withheld to satisfy taxes at vesting of certain time-based restricted stock units reported on a previously filed Form 4. /s/ Amanda L. Keister, as Attorney-in-Fact for Jeffrey W Shepherd 2022-03-03