-----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, G+fyl1IdS8ENVbK6n4ngwOTa+j1aUKBHtPgIpJZ3J/EpMX9ihwU3oq/GdfrOCMf/ EERbuylob38k23R8QntYTw== 0000935836-99-000022.txt : 19990202 0000935836-99-000022.hdr.sgml : 19990202 ACCESSION NUMBER: 0000935836-99-000022 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990119 FILED AS OF DATE: 19990201 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: WASTE CONNECTIONS INC/DE CENTRAL INDEX KEY: 0001057058 STANDARD INDUSTRIAL CLASSIFICATION: REFUSE SYSTEMS [4953] IRS NUMBER: 943283464 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-23981 FILM NUMBER: 99518077 BUSINESS ADDRESS: STREET 1: 2260 DOUGLAS BLVD STREET 2: SUITE 280 CITY: ROSEVILLE STATE: CA ZIP: 95661 BUSINESS PHONE: 9167722221 MAIL ADDRESS: STREET 1: 2260 DOUGLAS BLVD STREET 2: SUITE 280 CITY: ROSEVILLE STATE: CA ZIP: 95661 COMPANY DATA: COMPANY CONFORMED NAME: MURREY TRUST UTA AUGUST 5 1993 CENTRAL INDEX KEY: 0001077999 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER IRS NUMBER: 916377291 STATE OF INCORPORATION: WA FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: C/O US BANK STREET 2: 5580 PACIFIC HIGHWAY, SUITE A CITY: FIFE STATE: WA ZIP: 98424 BUSINESS PHONE: 2539226681 3 1 OMB Number 3235-0104 Expires: September 30, 1998 Estimated average burden hours per response 0.5 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D. C. 20549 FORM 3 INITIAL STATEMENT OF 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 Murrey Trust UTA August 5, 1993, as amended (Last) (First) (Middle) c/o US Bank, 5580 Pacific Highway, Suite A, Fife, WA 98424 2. Date of Event Requiring Statement (Month/Day/Year) January 19, 1999 3. IRS or Social Security Number of Reporting Person (Voluntary) ________ 4. Issuer Name and Ticker or Trading Symbol: Waste Connections, Inc. (WCNX) 5. Relationship of reporting person to issuer (Check all applicable) XX Director (Wilcox) XX 10% Owner XX Officer (give ___ Other (specify title below) below) Vice President - Finance - Northern Washington Division (Wilcox) 6. If Amendment, Date of Original (Month/Day/Year) ___________________ 7. Individual or Joint/Group Filing (Check Applicable line) ____ Form filed by one Reporting Person XX Form filed by More than One Reporting Person FORM 3 (continued) Page 2 of 4 Pages Table I - Non-Derivative Securities Beneficially Owned 1. Title of Security: Common Stock 2. Amount of Securities Beneficially Owned (Instr. 4) 1,949,997(1); 144,942(2) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5): D 4. Nature of Indirect Beneficial Ownership (Instr. 5): N/A ___________________________________________________________________________ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) * If the form is filed by more than one reporting person, see Instruction 5(b)(v). SEC 1473 (7-96) (1) These securities are owned solely by Murrey Trust. (2) These securities are owned solely by Irmgard R. Wilcox. FORM 3 (continued) Page 3 of 4 Pages Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security ___________________________________________ 2. Date Exercisable and Expiration Date (Month/Day/Year) Date Exercisable Expiration Date ____________________ ________________________ 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) Title ________________________ Amount or Number of Shares __________ 4. Conversion or Exercise Price of Derivative Security _______________ 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) ____________________ 6. Nature of Indirect Beneficial Ownership (Instr. 5) ______________________________________________________________________ ______________________________________________________________________ Explanation of Responses: MURREY TRUST UTA AUGUST 5, 1993, AS AMENDED By: /s/ Irmgard R. Wilcox, Trustee 1/26/99 Irmgard R. Wilcox, Trustee **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(a). Note: File three copies of this Form, one of which must be manually signed. If space provided 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. FORM 3 (continued) Page 4 of 4 Pages Joint Filer Information Name: Irmgard R. Wilcox Address: 4622 70 Avenue East, Puyallup, Washington 98371 Designated filer: Murrey Trust UTA August 5, 1993, as amended Issuer and ticker symbol: Waste Connections, Inc. (WCNX) Date of event requiring statement: January 19, 1999 Signature: /s/ Irmgard R. Wilcox Irmgard R. Wilcox CSR/5119/027/1026323 -----END PRIVACY-ENHANCED MESSAGE-----