Annual Statement of Changes in Beneficial Ownership (5)
November 14 2016 - 9:56AM
Edgar (US Regulatory)
FORM 5
[ ]
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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Form 3 Holdings Reported
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Form 4 Transactions Reported
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0362
Estimated average burden
hours per response...
1.0
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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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ADAIR A JAYSON
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2. Issuer Name
and
Ticker or Trading Symbol
COPART INC [CPRT]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Chief Executive Officer
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(Last)
(First)
(Middle)
C/O COPART, INC. 14185 DALLAS PARKWAY, SUITE 300
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3. Statement for Issuer's Fiscal Year Ended
(MM/DD/YYYY)
7/31/2013
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(Street)
DALLAS, TX 75254
(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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Amount
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(A) or (D)
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Price
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Common Stock
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10/23/2013
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G5
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1720
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D
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$0
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1012313
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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10/23/2013
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G5
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860
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D
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$0
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1011453
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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10/23/2013
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G5
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860
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D
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$0
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1010593
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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10/23/2013
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G5
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860
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D
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$0
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1009733
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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10/23/2013
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G5
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1720
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D
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$0
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1008013
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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1/8/2014
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G5
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1520
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D
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$0
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1006493
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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1/8/2014
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G5
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760
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D
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$0
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1005733
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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1/8/2014
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G5
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760
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D
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$0
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1004973
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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1/8/2014
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G5
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760
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D
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$0
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1004213
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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1/8/2014
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G5
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1520
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D
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$0
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1002693
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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3/16/2015
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G5
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375
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D
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$0
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2323805
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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3/16/2015
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G5
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375
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D
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$0
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2323430
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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3/16/2015
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G5
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375
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D
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$0
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2323055
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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3/16/2015
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G5
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375
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D
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$0
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2322680
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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3/16/2015
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G5
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750
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D
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$0
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2321930
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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3/18/2015
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G5
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750
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D
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$0
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2321180
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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3/18/2015
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G5
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375
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D
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$0
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2320805
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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3/18/2015
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G5
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375
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D
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$0
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2320430
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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3/18/2015
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G5
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375
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D
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$0
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2320055
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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3/18/2015
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G5
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375
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D
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$0
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2319680
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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1/15/2016
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G5
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1600
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D
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$0
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2318080
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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1/15/2016
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G5
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800
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D
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$0
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2317280
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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1/15/2016
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G5
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800
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D
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$0
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2316480
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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1/15/2016
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G5
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1600
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D
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$0
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2314880
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I
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A. Jayson Adair and Tammi L. Adair Revocable Trust
(1)
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Common Stock
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11166
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I
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Irrevocable trust A
(2)
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Common Stock
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11028
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I
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Irrevocable trust B
(2)
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Common Stock
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550000
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I
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JTGJ Investment, LP
(3)
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year
(Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
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11. Nature of Indirect Beneficial Ownership
(Instr. 4)
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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Reflects Shares held by A. Jayson Adair and Tammi L. Adair Revocable Trust, of which the reporting person and the reporting person's spouse are trustees.
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(
2)
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Reflects shares held by an irrevocable trust for the benefit of a member of the reporting person's immediate family as of fiscal year end 2013, 2014, 2015 and 2016.
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(
3)
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Reflects shares held by JTGJ Investments, LP, a Texas limited partnership("JTGJ"), of which (a) Adair Ventures, LLC is the general partner, of which the reporting person and the reporting person's wife are the members, and (b) the reporting person and the reporting person's wife were then the sole limited partners as of fiscal year end 2014, 2015 and 2016. The reporting person disclaims beneficial ownership of the issuer's common stock held by JTGJ except to the extent of his pecuniary interest, if any, therein.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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ADAIR A JAYSON
C/O COPART, INC. 14185 DALLAS PARKWAY
SUITE 300
DALLAS, TX 75254
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X
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Chief Executive Officer
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Signatures
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/s/ A. Jayson Adair
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11/14/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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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