0001395942-22-000001.txt : 20220103 0001395942-22-000001.hdr.sgml : 20220103 20220103154906 ACCESSION NUMBER: 0001395942-22-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220103 DATE AS OF CHANGE: 20220103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jacoby Stefan CENTRAL INDEX KEY: 0001583553 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34568 FILM NUMBER: 22501947 MAIL ADDRESS: STREET 1: 300 RENAISSANCE CENTER STREET 2: M/C: 482-C25-A36 CITY: DETROIT STATE: MI ZIP: 48265 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KAR Auction Services, Inc. CENTRAL INDEX KEY: 0001395942 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 208744739 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11299 N. ILLINOIS STREET CITY: CARMEL STATE: IN ZIP: 46032 BUSINESS PHONE: (800) 923-3725 MAIL ADDRESS: STREET 1: 11299 N. ILLINOIS STREET CITY: CARMEL STATE: IN ZIP: 46032 FORMER COMPANY: FORMER CONFORMED NAME: KAR Holdings, Inc. DATE OF NAME CHANGE: 20070409 4 1 wf-form4_164124292970031.xml FORM 4 X0306 4 2021-12-31 0 0001395942 KAR Auction Services, Inc. KAR 0001583553 Jacoby Stefan C/O KAR AUCTION SERVICES, INC. 11299 NORTH ILLINOIS STREET CARMEL IN 46032 1 0 0 0 Common Stock 2021-12-31 4 A 0 1361 15.62 A 5286 D These shares of common stock were issued to the reporting person in lieu of the reporting person's quarterly cash retainer payment for director service. Charles S. Coleman, as Attorney-in-Fact 2022-01-03