0001104659-21-151656.txt : 20211220 0001104659-21-151656.hdr.sgml : 20211220 20211220160041 ACCESSION NUMBER: 0001104659-21-151656 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211216 FILED AS OF DATE: 20211220 DATE AS OF CHANGE: 20211220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PERTCHIK JONATHAN CENTRAL INDEX KEY: 0001443952 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33274 FILM NUMBER: 211505198 MAIL ADDRESS: STREET 1: C/O TRAVELCENTERS OF AMERICA INC. STREET 2: 24601 CENTER RIDGE ROAD CITY: WESTLAKE STATE: OH ZIP: 44145 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TravelCenters of America Inc. /MD/ CENTRAL INDEX KEY: 0001378453 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 205701514 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 24601 CENTER RIDGE ROAD CITY: WESTLAKE STATE: OH ZIP: 44145 BUSINESS PHONE: 440-808-9100 MAIL ADDRESS: STREET 1: 24601 CENTER RIDGE ROAD CITY: WESTLAKE STATE: OH ZIP: 44145 FORMER COMPANY: FORMER CONFORMED NAME: TRAVELCENTERS OF AMERICA LLC DATE OF NAME CHANGE: 20061017 4 1 tm2135858-1_4.xml OWNERSHIP DOCUMENT X0306 4 2021-12-16 0 0001378453 TravelCenters of America Inc. /MD/ TA 0001443952 PERTCHIK JONATHAN C/O THE RMR GROUP LLC TWO NEWTON PLACE 255 WASHINGTON STREET NEWTON MA 02458 1 1 0 0 Chief Executive Officer Common Stock 2021-12-16 4 F 0 2645 48.64 D 213355 D Represents payment of tax liability by withholding securities incident to the vesting of securities issued in accordance with Rule 16b-3. /s/ Jonathan Pertchik 2021-12-20