FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Advanced Disposal Services, Inc. [ ADSW ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 10/30/2020 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 10/30/2020 | A(1) | 2,690 | A | (1) | 5,620 | D | |||
Common Stock | 10/30/2020 | D(2)(3) | 5,620 | D | $30.3(2)(3) | 0 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Option (right to buy) | $26.69 | 10/30/2020 | D(2)(3) | 6,916 | (2)(3) | 02/25/2029 | Common Stock | 6,916 | (2)(3) | 0 | D |
Explanation of Responses: |
1. Shares of Common Stock subject to performance share unit award that was granted in 2019 and was accelerated and deemed earned at target for each performance period 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) (as amended by Amendment No. 1, the "Merger Agreement"). |
2. Pursuant to the Merger Agreement, at the effective time of the merger: each outstanding share of Common Stock was cancelled and thereafter entitled the Reporting Person to receive a cash payment equal to the product of (a) the number of shares of Common Stock held by the Reporting Person at such time and (b) $30.30. |
3. Pursuant to the Merger Agreement, at the effective time of the merger: (a) each unvested restricted share unit award and performance share unit 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 of Common Stock subject to such restricted share unit award or performance share unit award and (ii) $30.30; and (b) each outstanding stock option with an exercise price per share that is less than $30.30, whether or not vested, became fully vested and was cancelled and thereafter entitled the Reporting Person to receive a cash payment, net of taxes, equal to the product of (i) the excess of $30.30 over the per-share exercise price of such stock option and (ii) the number of shares of Common Stock issuable upon exercise of such stock option. |
/s/ Jeffrey Everett, Attorney-in-Fact for Melissa Westerman | 10/30/2020 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |