-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, N/JZY0OaXyseTtHKmzhty4ndErwPcUZVw8Je77juDGfV0kMcdhTrtWkYAPBlFnZP enUNd5sltimBrNkKc8TtMw== /in/edgar/work/20000608/0000935836-00-000274/0000935836-00-000274.txt : 20000919 0000935836-00-000274.hdr.sgml : 20000919 ACCESSION NUMBER: 0000935836-00-000274 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000501 FILED AS OF DATE: 20000608 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: WASTE CONNECTIONS INC/DE CENTRAL INDEX KEY: 0001057058 STANDARD INDUSTRIAL CLASSIFICATION: [4953 ] IRS NUMBER: 943283464 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-23981 FILM NUMBER: 651670 BUSINESS ADDRESS: STREET 1: 620 COOLIDGE DRIVE STREET 2: SUITE 350 CITY: FOLSOM STATE: CA ZIP: 95630 BUSINESS PHONE: 9166088200 MAIL ADDRESS: STREET 1: 620 COOLIDGE DRIVE STREET 2: SUITE 350 CITY: FOLSOM STATE: CA ZIP: 95630-3155 COMPANY DATA: COMPANY CONFORMED NAME: MITTELSTAEDT RONALD J CENTRAL INDEX KEY: 0001064299 STANDARD INDUSTRIAL CLASSIFICATION: [ ]DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O WASTE CONNECTIONS INC STREET 2: 2260 DOUGLAS BLVD SUITE 280 CITY: ROSEVILLE STATE: CA ZIP: 95661 BUSINESS PHONE: 9167722221 MAIL ADDRESS: STREET 1: C/O WASTE CONNECTIONS INC STREET 2: 2260 DOUGLAS BLVD SUITE 280 CITY: ROSEVILLE STATE: CA ZIP: 95661 4 1 0001.txt OMB Number: 3235-0287 Expires: September 30, 1998 Estimated average burden hours per response 0.5 FORM 4 / / Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D. C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 (Print or Type Responses) 1. Name and Address of Reporting Person * Mittelstaedt, Ronald J., 620 Coolidge Drive, Suite 350, Folsom, CA 95630 (Last)(First)(Middle)(Street), (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol: Waste Connections, Inc. (WCNX) 3. IRS or Social Security Number of Reporting Person (Voluntary): 4. Statement for Month/Year: May 2000 5. If Amendment, Date of Original (Month/Year) ___________ 6. Relationship of reporting person to issuer (Check all applicable) XX Director ____ 10% Owner XX Officer (give ____ Other (specify title below) below) President and Chief Executive Officer 7. Individual or Joint/Group Filing (Check Applicable line) _XX_ Form filed by one Reporting Person ____ Form filed by More than One Reporting Person FORM 4 (continued) Page 2 of 5 Pages Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1. Title of Security (Instr. 3): 2. Transaction Date (Month/Day/Year): 3. Transaction Code (Instr. 8): 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) Amount: (A) or (D): Price: 5. Amount of Securities Beneficially Owned at End of Month (Inst. 3 and 4): 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4): 7. Nature of Indirect Beneficial Ownership (Inst. 4): 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). SEC 1474 (3-99) FORM 4 (continued) Page 3 of 5 Pages Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr. 3): Call option (right to buy) 2. Conversion or Exercise Price of Derivative Security: $26.796 3. Transaction Date (Month/Day/Year): 5/22/2000 4. Transaction Code (Instr. 8): S 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5): (A) 0 (D) 300,000 6. Date Exercisable and Expiration Date (Month/Day/Year): Date Exercisable Expiration Date 5/22/2003 5/22/2003 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4): Title: Common Stock Amount or Number of Shares: 300,000 8. Price of Derivative Security (Instr. 5) 0 9. Number of derivative Securities Beneficially Owned at End of Month (Instr. 4): 0 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4): D 11. Nature of Indirect Beneficial Ownership (Inst. 4): N/A FORM 4 (continued) Page 4 of 5 Pages Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr. 3): Put option (right to sell) 2. Conversion or Exercise Price of Derivative Security: $15.534 3. Transaction Date (Month/Day/Year): 5/22/2000 4. Transaction Code (Instr. 8): P 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5): (A) 300,000 (D) 0 6. Date Exercisable and Expiration Date (Month/Day/Year): Date Exercisable Expiration Date 5/22/2003 5/22/2003 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4): Title: Common Stock Amount or Number of Shares: 300,000 8. Price of Derivative Security (Instr. 5) 0 9. Number of derivative Securities Beneficially Owned at End of Month (Instr. 4): 300,000 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4): D 11. Nature of Indirect Beneficial Ownership (Inst. 4): N/A FORM 4 (continued) Page 5 of 5 Pages Explanation of Responses: N/A /s/ Ronald J. Mittelstaedt **Signature of Reporting Person Ronald J. Mittelstaedt Date: June 8, 2000 ** 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. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. CSR\5119\027\1102542.01 -----END PRIVACY-ENHANCED MESSAGE-----