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