0000899243-22-022945.txt : 20220616
0000899243-22-022945.hdr.sgml : 20220616
20220616194850
ACCESSION NUMBER: 0000899243-22-022945
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220615
FILED AS OF DATE: 20220616
DATE AS OF CHANGE: 20220616
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kamin Peter
CENTRAL INDEX KEY: 0000937541
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38580
FILM NUMBER: 221022017
MAIL ADDRESS:
STREET 1: 2720 DONALD ROSS ROAD
STREET 2: #311
CITY: PALM BEACH GARDENS
STATE: FL
ZIP: 33410
FORMER NAME:
FORMER CONFORMED NAME: KAMIN PETER H
DATE OF NAME CHANGE: 19950210
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: IAA, Inc.
CENTRAL INDEX KEY: 0001745041
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500]
IRS NUMBER: 831030538
FISCAL YEAR END: 1229
BUSINESS ADDRESS:
STREET 1: TWO WESTBROOK CORPORATE CENTER
STREET 2: 10TH FLOOR
CITY: WESTCHESTER
STATE: IL
ZIP: 60154
BUSINESS PHONE: (708) 492-7000
MAIL ADDRESS:
STREET 1: TWO WESTBROOK CORPORATE CENTER
STREET 2: 10TH FLOOR
CITY: WESTCHESTER
STATE: IL
ZIP: 60154
FORMER COMPANY:
FORMER CONFORMED NAME: IAA Spinco Inc.
DATE OF NAME CHANGE: 20180628
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-06-15
0
0001745041
IAA, Inc.
IAA
0000937541
Kamin Peter
TWO WESTBROOK CORPORATE CENTER,
SUITE 500
WESTCHESTER
IL
60154
1
0
0
0
Common Stock
2022-06-15
4
A
0
3714
0.00
A
11918
D
Common Stock
115096
I
By Peter H. Kamin Revocable Trust
Common Stock
52309
I
By Peter H. Kamin Childrens Trust
Common Stock
24541
I
By 3K Limited Partnership
Common Stock
83054
I
By Roth IRA
Common Stock
56100
I
By Peter H. Kamin GST Trust
Common Stock
19000
I
By Peter H. Kamin Family Foundation
Represents an annual stock retainer payable to non-employee directors, which will vest in full on the earlier of the one-year anniversary of the grant date or the day preceding the Issuer's next annual meeting of stockholders following the grant date.
These securities are owned by the Peter H. Kamin Revocable Trust dated February 2003. The Reporting Person is trustee of the trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
These securities are owned by the Peter H. Kamin Childrens Trust dated March 1997. The Reporting Person is trustee of the trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
These securities are owned by the 3K Limited Partnership. The Reporting Person is general partner of the limited partnership. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
These securities are owned by the Peter H. Kamin GST Trust. The Reporting Person is trustee of the trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
These securities are owned by the Peter H. Kamin Family Foundation. The Reporting Person is the Trustee of the Foundation. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for Section 16 or any other purpose.
Peter Kamin, /s/ Sidney Peryar as attorney-in-fact
2022-06-16