0000899243-21-031000.txt : 20210802 0000899243-21-031000.hdr.sgml : 20210802 20210802170312 ACCESSION NUMBER: 0000899243-21-031000 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210302 FILED AS OF DATE: 20210802 DATE AS OF CHANGE: 20210802 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PERYAR SIDNEY CENTRAL INDEX KEY: 0001197835 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-38580 FILM NUMBER: 211136808 MAIL ADDRESS: STREET 1: TWO WESTBROOK CORPORATE CENTER SUITE 500 CITY: WESTCHESTER STATE: IL ZIP: 60154 FORMER NAME: FORMER CONFORMED NAME: KERLEY SIDNEY L DATE OF NAME CHANGE: 20021010 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/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2021-03-02 2021-03-04 0 0001745041 IAA, Inc. IAA 0001197835 PERYAR SIDNEY TWO WESTBROOK CORPORATE CENTER SUITE 500 WESTCHESTER IL 60154 0 1 0 0 Chief Legal Officer Common Stock 2021-03-02 4 A 0 742 0.00 A 19180.04 D Represents shares of common stock received upon the vesting of performance-based restricted stock units previously granted to the Reporting Person prior to the Issuer's spin-off from KAR Auction Services, Inc. These shares were inadvertently omitted from the Form 4 filed by the Reporting Person on March 4, 2021 to report the withholding of shares of common stock to satisfy tax withholding obligations related to the vesting of such awards. /s/ Sidney Peryar 2021-08-02