0000899243-21-027199.txt : 20210702 0000899243-21-027199.hdr.sgml : 20210702 20210702161200 ACCESSION NUMBER: 0000899243-21-027199 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210616 FILED AS OF DATE: 20210702 DATE AS OF CHANGE: 20210702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Larson John P. CENTRAL INDEX KEY: 0001609333 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38580 FILM NUMBER: 211070149 MAIL ADDRESS: STREET 1: 13085 HAMILTON CROSSING BLVD. CITY: CARMEL STATE: IN ZIP: 46032 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IAA, Inc. CENTRAL INDEX KEY: 0001745041 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 831030538 FISCAL YEAR END: 1229 BUSINESS ADDRESS: STREET 1: TWO WESTBROOK CORPORATE CENTER STREET 2: 10TH FLOOR CITY: WESTCHESTER STATE: IL ZIP: 60154 BUSINESS PHONE: (708) 492-7000 MAIL ADDRESS: STREET 1: TWO WESTBROOK CORPORATE CENTER STREET 2: 10TH FLOOR CITY: WESTCHESTER STATE: IL ZIP: 60154 FORMER COMPANY: FORMER CONFORMED NAME: IAA Spinco Inc. DATE OF NAME CHANGE: 20180628 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-06-16 0 0001745041 IAA, Inc. IAA 0001609333 Larson John P. TWO WESTBROOK CORPORATE CENTER, SUITE 500 WESTCHESTER IL 60154 1 0 0 0 Common Stock 2021-06-16 4 A 0 3619 0.00 A 22805 D Represents a stock unit award granted on June 16, 2021, which will vest in full on the earlier of the one-year anniversary of the grant date or the day preceding the Issuer's next annual meeting of stockholders following the grant date. Includes 15,571 stock units subject to a deferral option. John Larson, /s/ Sidney Peryar as attorney-in-fact 2021-07-02