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