0001567619-21-018298.txt : 20211014 0001567619-21-018298.hdr.sgml : 20211014 20211014160608 ACCESSION NUMBER: 0001567619-21-018298 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211013 FILED AS OF DATE: 20211014 DATE AS OF CHANGE: 20211014 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Peker Lev CENTRAL INDEX KEY: 0001761840 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33264 FILM NUMBER: 211323442 MAIL ADDRESS: STREET 1: US AUTO PARTS STREET 2: 16941 KEEGAN AVENUE CITY: CARSON STATE: CA ZIP: 90746 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CarParts.com, Inc. CENTRAL INDEX KEY: 0001378950 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO & HOME SUPPLY STORES [5531] IRS NUMBER: 680623433 STATE OF INCORPORATION: DE FISCAL YEAR END: 0101 BUSINESS ADDRESS: STREET 1: 2050 W. 190TH STREET CITY: TORRANCE STATE: CA ZIP: 90504 BUSINESS PHONE: (310) 735-0085 MAIL ADDRESS: STREET 1: 2050 W. 190TH STREET CITY: TORRANCE STATE: CA ZIP: 90504 FORMER COMPANY: FORMER CONFORMED NAME: U.S. Auto Parts Network, Inc. DATE OF NAME CHANGE: 20061023 4 1 doc1.xml FORM 4 X0306 4 2021-10-13 0 0001378950 CarParts.com, Inc. PRTS 0001761840 Peker Lev 2050 W. 190TH STREET, SUITE 400 TORRANCE CA 90504 1 1 0 0 Chief Executive Officer Common Stock 2021-10-13 4 M 0 5000 .97 A 949456 D Common Stock 38869 I By IRA Common Stock 56000 I By Spouse's IRA Stock Options (Right to Buy) .97 2021-10-13 4 M 0 5000 0 D 2029-01-01 Common Stock 5000 653026 D The stock option was granted to the Reporting Person on January 2, 2019 under the CarParts.com, Inc. 2016 Equity Incentive Plan. Twenty-five percent of the shares of stock subject to the option vested on the first anniversary of the grant date, and the remainder of the shares subject to the option vest in equal monthly installments thereafter over three years, subject to such Reporting Person's service to the Company through such dates. /s/ Lev Peker 2021-10-14