0001567619-20-020426.txt : 20201130 0001567619-20-020426.hdr.sgml : 20201130 20201130162849 ACCESSION NUMBER: 0001567619-20-020426 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201127 FILED AS OF DATE: 20201130 DATE AS OF CHANGE: 20201130 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: 201358413 MAIL ADDRESS: STREET 1: 16941 KEEGAN AVENUE CITY: CARSON STATE: CA ZIP: 90746 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CarParts.com, Inc. CENTRAL INDEX KEY: 0001378950 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO & HOME SUPPLY STORES [5531] IRS NUMBER: 680623433 STATE OF INCORPORATION: DE FISCAL YEAR END: 0102 BUSINESS ADDRESS: STREET 1: 2050 W. 190TH STREET CITY: TORRANCE STATE: CA ZIP: 90504 BUSINESS PHONE: (310) 735-0085 MAIL ADDRESS: STREET 1: 2050 W. 190TH STREET CITY: TORRANCE STATE: CA ZIP: 90504 FORMER COMPANY: FORMER CONFORMED NAME: U.S. Auto Parts Network, Inc. DATE OF NAME CHANGE: 20061023 4 1 doc1.xml FORM 4 X0306 4 2020-11-27 0 0001378950 CarParts.com, Inc. PRTS 0001765532 Gomes Sanjiv 2050 W. 190TH STREET, SUITE 400 TORRANCE CA 90504 0 1 0 0 CTO Common Stock 2020-11-27 4 M 0 36126 1.25 A 200561 D Common Stock 2020-11-27 4 M 0 21875 1.06 A 222436 D Stock Options (Right to Buy) 1.25 2020-11-27 4 M 0 36126 0 D 2029-06-16 Common Stock 36126 108369 D Stock Options (Right to Buy) 1.06 2020-11-27 4 M 0 21875 0 D 2029-01-31 Common Stock 21875 86494 D The stock option was granted to the Reporting Person on June 17, 2019 pursuant to the Company's 2016 Equity Incentive Plan. Twenty-five percent (25%) of the shares of stock subject to the option vested on the first anniversary of the grant date, and the remainder of the shares subject to the option vest in equal monthly installments thereafter over three years. The stock option was granted to the Reporting Person on February 01, 2019 pursuant to the Company's 2016 Equity Incentive Plan. Twenty-five percent (25%) of the shares of stock subject to the option vested on the first anniversary of the grant date, and the remainder of the shares subject to the option vest in equal monthly installments thereafter over three years. /s/ Sanjiv Gomes 2020-11-30