0000947871-20-000843.txt : 20201030 0000947871-20-000843.hdr.sgml : 20201030 20201030170327 ACCESSION NUMBER: 0000947871-20-000843 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201030 FILED AS OF DATE: 20201030 DATE AS OF CHANGE: 20201030 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MROZEK ERNEST J CENTRAL INDEX KEY: 0001182069 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37904 FILM NUMBER: 201278099 MAIL ADDRESS: STREET 1: SERVICE MASTER STREET 2: 2300 WARRENVILLE ROAD CITY: DOWNERS GROVE STATE: IL ZIP: 60515 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Advanced Disposal Services, Inc. CENTRAL INDEX KEY: 0001585790 STANDARD INDUSTRIAL CLASSIFICATION: REFUSE SYSTEMS [4953] IRS NUMBER: 900875845 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 90 FORT WADE ROAD - SUITE 200 CITY: PONTE VEDRA STATE: FL ZIP: 32081 BUSINESS PHONE: 904-737-7900 MAIL ADDRESS: STREET 1: 90 FORT WADE ROAD - SUITE 200 CITY: PONTE VEDRA STATE: FL ZIP: 32081 FORMER COMPANY: FORMER CONFORMED NAME: ADS Waste Holdings, Inc. DATE OF NAME CHANGE: 20130904 4 1 ownership.xml X0306 4 2020-10-30 1 0001585790 Advanced Disposal Services, Inc. ADSW 0001182069 MROZEK ERNEST J C/O ADVANCED DISPOSAL SERVICES, INC., 90 FORT WADE ROAD PONTE VEDRA FL 32081 1 0 0 0 Common Stock 2020-10-30 4 D 0 12760 30.30 D 0 D Pursuant to the Agreement and Plan of Merger, entered into on April 14, 2019, by and among the Issuer, Waste Management, Inc. and Everglades Merger Sub Inc. (filed as Exhibit 2.1 to the Form 8-K filed with the Securities and Exchange Commission on April 15, 2019), as amended by that certain Amendment No. 1, dated as of June 24, 2020 (filed as Exhibit 2.1 to the Form 8-K filed with the Securities and Exchange Commission on June 24, 2020). At the effective time of the merger: (a) each outstanding share of Common Stock was cancelled and thereafter entitled the Reporting Person to receive a cash payment equal to the product of (i) the number of shares of Common Stock held by the Reporting Person at such time and (ii) $30.30; and (b) each unvested restricted share award vested in full and was cancelled and thereafter entitled the Reporting Person to receive a cash payment, net of taxes, equal to the product of (i) the number of shares subject to such restricted share award and (ii) $30.30. /s/ Jeffrey Everett, Attorney-in-Fact for Ernest J. Mrozek 2020-10-30