0001515156-23-000104.txt : 20230724
0001515156-23-000104.hdr.sgml : 20230724
20230724185758
ACCESSION NUMBER: 0001515156-23-000104
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230720
FILED AS OF DATE: 20230724
DATE AS OF CHANGE: 20230724
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Campbell-Breeden Richard
CENTRAL INDEX KEY: 0001963344
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37822
FILM NUMBER: 231106090
MAIL ADDRESS:
STREET 1: 30A BROOK STREET
CITY: LONDON
STATE: X0
ZIP: W1K 5DJ
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Advanced Emissions Solutions, Inc.
CENTRAL INDEX KEY: 0001515156
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS CHEMICAL PRODUCTS [2890]
IRS NUMBER: 275472457
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 8051 E. MAPLEWOOD AVE., STE 210
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
BUSINESS PHONE: 720-598-3500
MAIL ADDRESS:
STREET 1: 8051 E. MAPLEWOOD AVE., STE 210
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
4
1
wk-form4_1690239469.xml
FORM 4
X0508
4
2023-07-20
0
0001515156
Advanced Emissions Solutions, Inc.
ADES
0001963344
Campbell-Breeden Richard
C/O ADVANCED EMISSIONS SOLUTIONS, INC.
8051 E. MAPLEWOOD AVENUE, SUITE 210
GREENWOOD VILLAGE
CO
80111
1
0
0
0
0
Series A Convertible Preferred Stock
2023-07-20
4
D
0
4012
0
D
0
D
Series A Convertible Preferred Stock
2023-07-20
4
D
0
48699
0
D
0
I
By Omeshorn Holdings Limited.
Common Stock
2023-07-20
4
A
0
4012
0
A
32040
D
Common Stock
2023-07-20
4
A
0
48699
0
A
142542
I
By Omeshorn Holdings Limited.
The shares of Series A Convertible Preferred Stock converted to an equal number of shares of the Issuer's Common Stock upon the approval by the holders of the percentage of Common Stock required to approve such conversion under the applicable rules of The Nasdaq Stock Market, without the need for any action on the part of the holders of the Series A Convertible Preferred Stock.
This amount includes 51 shares of Series A Convertible Preferred Stock received on April 21, 2023, as dividends paid in-kind for the first quarter of 2023, which acquisition was exempt from Section 16 of the Securities Exchange Act of 1934, as amended, pursuant to Rule 16a-9 thereunder.
This amount includes 622 shares of Series A Convertible Preferred Stock received on April 21, 2023, as dividends paid in-kind for the first quarter of 2023, which acquisition was exempt from Section 16 of the Securities Exchange Act of 1934, as amended, pursuant to Rule 16a-9 thereunder.
The shares reported on this row are held by Omeshorn Holdings Ltd. Richard Campbell-Breeden, a Director of the Issuer, is a director of Omeshorn Holdings Ltd. and therefore is an indirect beneficial owner of the securities reported herein.
/s/ Richard Campbell-Breeden
2023-07-24