0001395942-22-000064.txt : 20221004 0001395942-22-000064.hdr.sgml : 20221004 20221004154017 ACCESSION NUMBER: 0001395942-22-000064 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220930 FILED AS OF DATE: 20221004 DATE AS OF CHANGE: 20221004 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: 221291245 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_166491240322316.xml FORM 4 X0306 4 2022-09-30 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 2022-09-30 4 A 0 1903 11.17 A 17638 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. 7,832 of these shares were issued on June 2, 2022 to the reporting person as director fees pursuant to the KAR Auction Services, Inc. Amended and Restated 2009 Omnibus Stock and Incentive Plan. The 7,832 shares vest on June 2, 2023 and are subject to forfeiture until vested. All other shares are vested. Charles S. Coleman, as Attorney-in-Fact 2022-10-04