0001567619-19-002275.txt : 20190204 0001567619-19-002275.hdr.sgml : 20190204 20190204170702 ACCESSION NUMBER: 0001567619-19-002275 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190201 FILED AS OF DATE: 20190204 DATE AS OF CHANGE: 20190204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gomes Sanjiv CENTRAL INDEX KEY: 0001765532 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33264 FILM NUMBER: 19564800 MAIL ADDRESS: STREET 1: 16941 KEEGAN AVENUE CITY: CARSON STATE: CA ZIP: 90746 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: U.S. Auto Parts Network, Inc. CENTRAL INDEX KEY: 0001378950 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO & HOME SUPPLY STORES [5531] IRS NUMBER: 680623433 STATE OF INCORPORATION: DE FISCAL YEAR END: 1229 BUSINESS ADDRESS: STREET 1: 16941 KEEGAN AVE CITY: CARSON STATE: CA ZIP: 90746 BUSINESS PHONE: (310) 735-0085 MAIL ADDRESS: STREET 1: 16941 KEEGAN AVE CITY: CARSON STATE: CA ZIP: 90746 4 1 doc1.xml FORM 4 X0306 4 2019-02-01 0 0001378950 U.S. Auto Parts Network, Inc. PRTS 0001765532 Gomes Sanjiv 16941 KEEGAN AVENUE HAWTHORNE CA 90746 0 1 0 0 Interim CTO Stock Options (Right to Buy) 1.06 2019-02-01 4 A 0 50000 0 A 2029-01-31 Common Stock 50000 50000 D Granted pursuant to the U.S. Auto Parts Network, Inc. 2016 Equity Incentive Plan. Twenty-five percent of the shares of stock subject to the option vest on the first anniversary of the grant date, and the remainder of which will vest in equal monthly installments thereafter over three years, subject to such executive's service to the Company through such dates. /s/ David Eisler, as Attorney-in-Fact for Sanjiv Gomes 2019-02-04