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Proc-Type: 2001,MIC-CLEAR
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION 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 Form 5 OMB APPROVAL OMB Number: 3235-0287 Expires: December 31, 2001 Estimated average burden hours per response 0.5 ¨
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b) (Print or Type Responses) 1 .Name and Address of Reporting Person 2. Issuer Name and Ticker or Trading Symbol: Waste Connections, Inc. - WCNX 6. Relationship of Reporting Person(s) to Issuer ______Director ______10% Owner __XX__Officer (give ______Other (specify title below) below) Vice President - Human Resources and Risk Management Hunt, Jerri (Last) (First) (Middle) 3. IRS Identification Number of Reporting Person, if an entity 4. Statement for December 31, 1999 620 Coolidge Drive, Suite 350 (Street) 5. If Amendment, 7. Individual or Joint/Group Filing (City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature of Indirect Beneficial Ownership Amount (A) or (D) Price Common Stock 3 - See Note 1 0 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). Persons who respond to the collection of information contained
Washington, D.C. 20549
(Check all applicable)
(voluntary)
Month/Year
Date of Original
(Month/Year)
_X_Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(Instr. 4)
action
Date
(Month/
Day/
Year)
Action
Code
(Instr. 8)
or Disposed of (D)
(Instr. 3, 4 AND 5)
Securities Ben-
eficially Owned
at End of
Issuer's Fiscal
Year
(Instr. 3 and 4)
ship
Form:
Direct
(D) or
Indirect
(I)
(Instr. 4)
(Instr. 4)
in this form are not required to respond unless the form displays SEC 1474 (3-00)
a currently valid OMB control number.
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned |
||||||||||||||
1. Title of |
2. Conver- |
3. Trans- |
4. Trans-
|
5. Number of Deriv- |
6. Date Exer- |
7. Title and Amount of Securities |
8. Price |
9. Number |
10. Owner- |
11. Nature of Indirect |
||||
(A) |
(D) |
Date |
Expira- |
Title |
Amount or |
|||||||||
Employee Stock Option (right to buy) |
$11.75 |
12/6/99 |
A4 |
20,000 |
See Note 2. |
12/6/09 |
Common Stock |
20,000 |
0 |
20,000 |
D |
|||
Explanation of Responses:
(1) The reporting person beneficially owned no shares on October 25, 1999, the date she became an officer of Waste Connections, Inc.
(2) One-third become exercisable on each of 12/6/00, 12/6/01 and 12/6/02.
/s/ Jerri Hunt December 28, 2000
**Signature of Reporting Person Date
*** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff
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.
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