0001140361-12-013856.txt : 20120307 0001140361-12-013856.hdr.sgml : 20120307 20120307161346 ACCESSION NUMBER: 0001140361-12-013856 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120306 FILED AS OF DATE: 20120307 DATE AS OF CHANGE: 20120307 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACKSON DARREN R CENTRAL INDEX KEY: 0001191188 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16797 FILM NUMBER: 12674371 MAIL ADDRESS: STREET 1: C/O BEST BUY INC STREET 2: 7075 FLYING CLOUD DR CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ADVANCE AUTO PARTS INC CENTRAL INDEX KEY: 0001158449 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO & HOME SUPPLY STORES [5531] IRS NUMBER: 542049910 STATE OF INCORPORATION: DE FISCAL YEAR END: 0817 BUSINESS ADDRESS: STREET 1: 5008 AIRPORT RD CITY: ROANOKE STATE: VA ZIP: 24012 BUSINESS PHONE: 5403624911 MAIL ADDRESS: STREET 1: 5008 AIRPORT RD CITY: ROANOKE STATE: VA ZIP: 24012 4 1 doc1.xml FORM 4 X0304 4 2012-03-06 0 0001158449 ADVANCE AUTO PARTS INC AAP 0001191188 JACKSON DARREN R ADVANCE AUTO PARTS, INC. 5008 AIRPORT RD ROANOKE VA 24012 1 1 0 0 President and CEO Common Stock 2012-03-06 4 M 0 6250 39.65 A 202787 D Common Stock 2012-03-06 4 M 0 56595 25.81 A 259382 D Common Stock 2012-03-06 4 F 0 34535 85.99 D 224847 D Common Stock 2012-03-06 4 M 0 169782 25.81 A 394629 D Common Stock 2012-03-06 4 F 0 103600 85.99 D 291029 D Common Stock 2012-03-06 4 S 0 4464 86.02 D 286565 D Stock Option (right to buy) 39.65 2012-03-06 4 M 0 6250 0 D 2012-05-23 Common Stock 6250 0 D Stock Appreciation Right 25.81 2012-03-06 4 M 0 56595 0 D 2015-11-17 Common Stock 56595 0 D Stock Appreciation Right 25.81 2012-03-06 4 M 0 169782 0 D 2015-11-17 Common Stock 169782 0 D Represents the exercise by Mr. Jackson of all his stock appreciation rights scheduled to expire on November 17, 2015, consistent with Mr. Jackson's regular practice. Following this transaction, Mr. Jackson retains a substantial ownership commitment in both beneficially owned stock and vested employee stock options and SARs, and he continues to satisfy the Company's stock ownership guidelines for executive officers. Represents shares withheld to satisfy exercise price and tax withholding obligation upon the exercise of stock appreciation rights (SARs). The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $86.02 to $86.04. 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. These shares became exercisable in three equal annual installments beginning on May 23, 2006. These shares became exercisable in three equal annual installments beginning on November 17, 2009. /s/ Rachel E. Geiersbach, as Attorney-in-Fact for Darren R. Jackson 2012-03-07