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