Statement of Changes in Beneficial Ownership (4)
March 22 2022 - 5:17PM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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Akhavan Houman |
2. Issuer Name and Ticker or Trading Symbol
CarParts.com, Inc.
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PRTS
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Chief Marketing Officer |
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(Last)
(First)
(Middle)
C/O CARPARTS.COM, INC., 2050 W. 190TH STREET, SUITE 400 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/18/2022 |
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(Street)
TORRANCE, CA 90504
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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| Common Stock | 3/18/2022 | | A(1) | | 2654 | A | $0 | 449815 | D | |
| Common Stock | 3/18/2022 | | A(2) | | 33737 | A | $0 | 483552 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code
(Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4) | 8. Price of Derivative Security
(Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Explanation of Responses: |
| (1) | On January 13, 2021, the Reporting Person was granted a number of performance-vesting restricted stock shares, with the first tranche of shares to be awarded at a percentage of 1/9 of the target shares on a percentage scale ranging from 0 to 300% based on the Company's 2021 total shareholder return, or TSR ("performance criteria"). Following certification by the Compensation Committee of the Issuer, the Reporting Person vested 2,654 shares because the performance criteria has been satisfied for the 2021 performance period. |
| (2) | Represents common stock awarded to the Reporting Person upon the determination by the Company's Board of Directors of the achievement of the performance conditions under the Company's annual incentive bonus plan. The common stock was awarded to the Reporting Person in lieu of cash under the Company's annual incentive bonus plan. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Akhavan Houman
C/O CARPARTS.COM, INC.
2050 W. 190TH STREET, SUITE 400
TORRANCE, CA 90504 |
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| Chief Marketing Officer |
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Signatures
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| /s/ Houman Akhavan | | 3/22/2022 |
| **Signature of Reporting Person | Date |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
| * | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
| ** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
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