0001158449-23-000075.txt : 20230308 0001158449-23-000075.hdr.sgml : 20230308 20230308211957 ACCESSION NUMBER: 0001158449-23-000075 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230306 FILED AS OF DATE: 20230308 DATE AS OF CHANGE: 20230308 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: 23717948 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: 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_167832838290794.xml FORM 4 X0306 4 2023-03-06 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 2023-03-06 4 A 0 3515 135.13 A 23806 D Stock Option (right to buy) 135.13 2023-03-06 4 A 0 13428 0 A 2033-03-05 Common Stock 13428.0 20841 D The reported amount of time-based restricted stock units (RSUs) along with performance-based RSUs not reported on this Form 4, collectively, represent 25% and 50% portions, respectively, of a target equity award. The time-based RSUs are subject to time vesting in three approximately equal annual installments beginning one year from the grant date. The performance-based RSUs may vest on the third anniversary of the grant date, if the registrant achieves a certain pre-determined financial performance target, subject to certification by the registrant's Compensation Committee. In addition, if the registrant's financial performance exceeds the target level, the reporting person may receive additional shares up to a maximum of 200% of the target level grant of performance-based RSUs. The option vests in three equal annual installments beginning on March 5, 2024. /s/ Amanda L. Keister, as Attorney-in-Fact for Jeffrey W Shepherd 2023-03-08