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