0001378453-17-000076.txt : 20171211 0001378453-17-000076.hdr.sgml : 20171211 20171211174259 ACCESSION NUMBER: 0001378453-17-000076 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171208 FILED AS OF DATE: 20171211 DATE AS OF CHANGE: 20171211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: REBHOLZ ANDREW J CENTRAL INDEX KEY: 0001388030 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33274 FILM NUMBER: 171250455 MAIL ADDRESS: STREET 1: C/O TRAVELCENTERS OF AMERICA LLC STREET 2: 400 CENTRE STREET CITY: NEWTON STATE: MA ZIP: 02458 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TRAVELCENTERS OF AMERICA LLC CENTRAL INDEX KEY: 0001378453 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 205701514 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 4 1 wf-form4_151303216583149.xml FORM 4 X0306 4 2017-12-08 0 0001378453 TRAVELCENTERS OF AMERICA LLC TA 0001388030 REBHOLZ ANDREW J C/O THE RMR GROUP LLC TWO NEWTON PLACE 255 WASHINGTON STREET NEWTON MA 02458 0 1 0 0 Exec. VP, CFO and Treasurer Common Shares 2017-12-08 4 F 0 37777 4.35 D 592744 D Payment of tax liability by withholding securities incident to the vesting of the security issued in accordance with Rule 16b-3. /s/ Andrew J. Rebholz 2017-12-11