0001158449-22-000189.txt : 20220601 0001158449-22-000189.hdr.sgml : 20220601 20220601175023 ACCESSION NUMBER: 0001158449-22-000189 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220530 FILED AS OF DATE: 20220601 DATE AS OF CHANGE: 20220601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bailo Carla Jean CENTRAL INDEX KEY: 0001756088 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16797 FILM NUMBER: 22988556 MAIL ADDRESS: STREET 1: 1775 SHERMAN STREET STREET 2: SUITE 1200 CITY: DENVER STATE: CO ZIP: 80203 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: 1231 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_165412020296152.xml FORM 4 X0306 4 2022-05-30 0 0001158449 ADVANCE AUTO PARTS INC AAP 0001756088 Bailo Carla Jean ADVANCE AUTO PARTS, INC. 4200 SIX FORKS ROAD RALEIGH NC 27609 1 0 0 0 Common Stock 2022-05-30 4 A 0 854.70 193.05 A 2851.27 D These deferred stock units, which will be converted to shares of issuer common stock at the time of distribution, were awarded under the Advance Auto Parts, Inc. Deferred Stock Unit Plan for Non-Employee Directors and Selected Executives. These shares will vest on May 30, 2023 and will be distributed on a pro-rata basis if board service ends prior to the vesting date. Otherwise, these shares will be distributed to the reporting person at the end of the director's board service. /s/ Amanda L. Keister, as Attorney-in-Fact for Carla J. Bailo 2022-06-01