Sec Form 4 Filing - MCCOLLAM SHARON @ ADVANCE AUTO PARTS INC - 2019-03-01

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
MCCOLLAM SHARON
2. Issuer Name and Ticker or Trading Symbol
ADVANCE AUTO PARTS INC [ AAP]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
ADVANCE AUTO PARTS, INC, 2635 EAST MILLBROOK ROAD
3. Date of Earliest Transaction (MM/DD/YY)
03/01/2019
(Street)
RALEIGH, NC27604
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/01/2019( 1 ) A 241.25 ( 1 ) A $ 160.62 2,473.563 ( 2 ) D
Common Stock 04/05/2019( 3 ) A 0.08 ( 3 ) A $ 176.78 2,473.643 ( 2 ) D
Common Stock 07/05/2019( 3 ) A 0.09 ( 3 ) A $ 160.62 2,473.733 ( 2 ) D
Common Stock 10/04/2019( 3 ) A 0.09 ( 3 ) A $ 159.94 2,473.823 ( 2 ) D
Common Stock 01/03/2020( 3 ) A 0.09 ( 3 ) A $ 159.42 2,473.913 ( 2 ) D
Common Stock 04/03/2020( 3 ) A 0.71 ( 3 ) A $ 84.65 2,474.623 ( 2 ) D
Common Stock 07/06/2020( 3 ) A 0.44 ( 3 ) A $ 138.96 2,475.063 ( 2 ) D
Common Stock 10/02/2020 A 4.37 ( 4 ) A $ 155.5 2,479.433 ( 2 ) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
MCCOLLAM SHARON
ADVANCE AUTO PARTS, INC
2635 EAST MILLBROOK ROAD
RALEIGH, NC27604
X
Signatures
/s/ Amanda L. Keister, as Attorney-in-Fact for Sharon McCollam 10/06/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents deferred stock units, which will be converted to shares of issuer common stock at the time of distribution, awarded under the Advance Auto Parts, Inc. Deferred Stock Unit Plan for Non-Employee Directors and Selected Executives that vested on May 29, 2019 and will be distributed to the reporting person at the end of the director's board service. Due to administrative error, the deferred stock units were not credited to the reporting person until September 28, 2020.
( 2 )Amounts include securities reported on this form as well as additional securities acquired between the dates of the transactions reported on this form and the filing date of this form.
( 3 )These shares of issuer common stock were acquired pursuant to a dividend reinvestment feature of the Advance Auto Parts, Inc. Deferred Stock Unit Plan for Non-Employee Directors and Selected Executives. Due to administrative error, they were not credited to the reporting person until October 6, 2020.
( 4 )These shares of issuer common stock were acquired pursuant to a dividend reinvestment feature of the Advance Auto Parts, Inc. Deferred Stock Unit Plan for Non-Employee Directors and Selected Executives.

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