SEC Form 4 · accession 0001158449-15-000055
ADVANCE AUTO PARTS INC · AAP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Darren R Jackson
Officer — CEO · Director
Period of report
Feb 17, 2015
Accepted (ET)
Feb 19, 2015 · 4:50 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001158449
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Feb 17, 2015 | M | 91,674 | $40.38 | A | 217,873 | D | |
| Common StockF1,F2 | Feb 17, 2015 | F | 56,068 | $149.77 | D | 161,805 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightsF3 | $40.38 | Feb 17, 2015 | M | 65,868 | D | — | Dec 1, 2016 | Common Stock | 65,868 | 0 | D |
| Stock Appreciation Rights | $40.38 | Feb 17, 2015 | M | 25,806 | D | Mar 1, 2013 | Dec 1, 2016 | Common Stock | 25,806 | 0 | D |
Explanation of responses
- F1Represents shares withheld to satisfy exercise price and tax withholding obligations upon the exercise of Stock Appreciation Rights.
- F2The price reported in Column 4 is a weighted average price. These shares were exercised in multiple transactions at prices ranging from $149.22 to $149.78. The Reporting Person has provided to the Issuer, and undertakes to provide to any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
- F3These shares became exercisable in three equal annual installments beginning December 1, 2010.