-----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, SnznFUf6WVfL2SKykV6olS16MWGvw0jmQ+N4Pn9tYxJqVHBVsSjhqN30NsfjaMyz yz+qGxfAR1cH9dtfhm7rGA== 0000935836-99-000229.txt : 19990623 0000935836-99-000229.hdr.sgml : 19990623 ACCESSION NUMBER: 0000935836-99-000229 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980801 FILED AS OF DATE: 19990621 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: 99649402 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: HULL DAVID M CENTRAL INDEX KEY: 0001089079 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 3 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 380 CITY: ROSEVILLE STATE: CA ZIP: 95661 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 Hall, David M. (Last) (First) (Middle) 2260 Douglas Boulevard, Ste. 280, Roseville, CA 95661 2. Date of Event Requiring Statement (Month/Day/Year) 8/1/98 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) ____ Director ____ 10% Owner __XX__ Officer (give ____ Other (specify title below) below) Vice President - Business Development 6. If Amendment, Date of Original (Month/Day/Year): 8/10/98 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 3 (continued) Page 2 of 5 Pages Table I - Non-Derivative Securities Beneficially Owned 1. Title of Security: Common Stock 2. Amount of Securities Beneficially Owned (Instr. 4) 4,000 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) D 4. Nature of Indirect Beneficial Ownership (Instr. 5) ____________________ ___________________________________________________________________________ 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) FORM 3 (continued) Page 3 of 5 Pages Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security: Incentive Stock Option 2. Date Exercisable and Expiration Date (Month/Day/Year) No. of Shares Date Exercisable Expiration Date 5,517 10/1/98 7/7/2008 5,517 10/1/99 7/7/2008 5,517 10/1/2000 7/7/2008 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) Title: Common Stock Amount or Number of Shares: 16,551 4. Conversion or Exercise Price of Derivative Security $18.125 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5): D 6. Nature of Indirect Beneficial Ownership (Instr. 5) ______________________________________________________________________ ___________________________________________________________________________ FORM 3 (continued) Page 4 of 5 Pages Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security: Nonqualified Stock Option 2. Date Exercisable and Expiration Date (Month/Day/Year) No. of Shares Date Exercisable Expiration Date 11,150 10/1/98 7/7/2008 11,150 10/1/99 7/7/2008 11,149 10/1/2000 7/7/2008 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) Title: Common Stock Amount or Number of Shares: 33,449 4. Conversion or Exercise Price of Derivative Security $18.125 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5): D 6. Nature of Indirect Beneficial Ownership (Instr. 5) ______________________________________________________________________ ___________________________________________________________________________ FORM 3 (continued) Page 5 of 5 Pages Explanation of Responses: /s/ David M. Hall **Signature of Reporting Person David M. Hall Date: 6/21/99 ** 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. CSR\5119\027\1050699.01 -----END PRIVACY-ENHANCED MESSAGE-----