0000899243-16-031217.txt : 20161005
0000899243-16-031217.hdr.sgml : 20161005
20161005154332
ACCESSION NUMBER: 0000899243-16-031217
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161005
FILED AS OF DATE: 20161005
DATE AS OF CHANGE: 20161005
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CANADA PENSION PLAN INVESTMENT BOARD
CENTRAL INDEX KEY: 0001283718
STATE OF INCORPORATION: A6
FISCAL YEAR END: 0331
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37904
FILM NUMBER: 161922332
MAIL ADDRESS:
STREET 1: ONE QUEEN STREET EAST
STREET 2: STE 2700
CITY: TORONTO ONTARIO
STATE: A6
ZIP: 0000
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2016-10-05
0
0001585790
Advanced Disposal Services, Inc.
ADSW
0001283718
CANADA PENSION PLAN INVESTMENT BOARD
ONE QUEEN STREET EAST, SUITE 2500
TORONTO
A6
M5C 2W5
ONTARIO, CANADA
0
0
1
0
Common Stock
1000
I
See Footnote
The Reporting Person may be deemed to have voting power over the Common Shares held of record by Advanced Disposal Waste Holdings Corp. (which the Reporting Person holds indirectly through its direct holdings of Series B Preferred Shares of Star Atlantic Waste Holdings II, L.P.) due to certain consent rights included in the terms of the Series B Preferred Shares of Star Atlantic Waste Holdings II, L.P. held by the Reporting Person. As a result, the Reporting Person may be deemed to have beneficial ownership of such Common Shares for purposes of Rule 13d-3 under the Securities Exchange Act of 1934, as amended. The Reporting Person disclaims beneficial ownership of the securities reported herein for purposes of Rule 16a-1(a) under the Exchange Act except to the extent of its pecuniary interest therein. The Reporting Person is overseen by a board of directors.
(Continued from footnote 1) Because the board of directors acts by consensus/majority approval, none of the directors of the board of directors has sole voting or dispositive power with respect to the Common Shares that may be deemed to be beneficially owned by the Reporting Person. This report shall not be deemed an admission that the Reporting Person is a beneficial owner for purposes of Section 16 of the Exchange Act or for any other purpose.
By: Patrice Walch-Watson, Title: Senior Managing Director, General Counsel & Corporate Secretary, /s/ Patrice Walch-Watson
2016-10-05