0000899243-16-031723.txt : 20161014 0000899243-16-031723.hdr.sgml : 20161014 20161014173620 ACCESSION NUMBER: 0000899243-16-031723 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161012 FILED AS OF DATE: 20161014 DATE AS OF CHANGE: 20161014 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: Slattery Michael K CENTRAL INDEX KEY: 0001657823 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37904 FILM NUMBER: 161937675 MAIL ADDRESS: STREET 1: 90 FORT WADE ROAD CITY: PONTE VEDRA STATE: FL ZIP: 32081 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-10-12 0 0001585790 Advanced Disposal Services, Inc. ADSW 0001657823 Slattery Michael K C/O ADVANCED DISPOSAL SERVICES, INC. 90 FORT WADE ROAD PONTE VEDRA FL 32081 0 1 0 0 Senior VP, Gen Coun, Secretary Common Stock 2016-10-12 4 A 0 5294 A 5294 D Common Stock 2016-10-12 4 A 0 41667 A 46961 D Common Stock 2016-10-12 4 A 0 3815 A 50776 D Employee Stock Option (right to buy) 18.80 2016-10-12 4 A 0 5184 0.00 A 2025-03-04 Common Stock 5184 5184 D Employee Stock Option (right to buy) 18.80 2016-10-12 4 A 0 37013 0.00 A 2025-03-04 Common Stock 37013 37013 D Employee Stock Option (right to buy) 24.29 2016-10-12 4 A 0 12163 0.00 A 2026-06-24 Common Stock 12163 12163 D Employee Stock Option (right to buy) 18.00 2016-10-12 4 A 0 126904 0.00 A 2026-10-12 Common Stock 126904 126904 D These shares of the Issuer's common stock (the "Common Stock") were issued to the reporting person in exchange for shares of common stock of Advanced Disposal Waste Holdings Corp. ("Parent") that were cancelled and converted into shares of Common Stock of equivalent value in connection with the merger of Parent into the Issuer with the Issuer as the surviving corporation (the "Merger"). The Merger was exempt from the provisions of Section 16(b) of the Securities Exchange Act of 1934, as amended, pursuant to Rule 16b-7 thereunder. Shares of Common Stock subject to a grant of restricted stock units made in connection with the Issuer's initial public offering. The award will vest in full on the third anniversary of the date of grant (the date of grant being 10/12/2016). Shares of Common Stock subject to a grant of restricted stock units made to replace restrict stock units of equivalent value that covered common stock of Parent and were cancelled in connection with the Merger. The award will vest in three equal installments over each of the first three anniversaries of the date of grant (date of grant being 6/24/2016). Option awards that were granted to replace options of equivalent intrinsic value that covered common stock of Parent and were cancelled in connection with the Merger. These options vest 20% on the date of grant (03/04/2015) and 20% annually thereafter on the anniversary of the date of grant. Prior to the closing of the Issuer's initial public offering, these options were scheduled to vest in full on the fifth anniversary of the date of grant. However, by the terms of the award, upon the closing of the Issuer's initial public offering, the vesting schedule for these options changed so that 20% of the options were vested on the date of grant (03/04/2015) and 20% vested and will vest annually thereafter on the anniversary of the date of grant. These options will vest in three equal installments over each of the first three anniversaries of the date of grant (date of grant being 6/24/2016). Award of options made in connection with the Issuer's initial public offering. The options will vest in full on the third anniversary of the date of grant (the date of grant being 10/12/2016). /s/ Jeffrey Everett, Attorney-in-Fact for Michael K. Slattery 2016-10-14