0000911177-23-000004.txt : 20230123 0000911177-23-000004.hdr.sgml : 20230123 20230123161722 ACCESSION NUMBER: 0000911177-23-000004 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230123 DATE AS OF CHANGE: 20230123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CASELLA JOHN W CENTRAL INDEX KEY: 0001055352 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23211 FILM NUMBER: 23544667 MAIL ADDRESS: STREET 1: CASELLA WASTE SYSTEMS INC STREET 2: 25 GREENS HILL LN CITY: RUTLAND STATE: VT ZIP: 05701 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CASELLA WASTE SYSTEMS INC CENTRAL INDEX KEY: 0000911177 STANDARD INDUSTRIAL CLASSIFICATION: REFUSE SYSTEMS [4953] IRS NUMBER: 030338873 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 25 GREENS HILL ROAD CITY: RUTLAND STATE: VT ZIP: 05701 BUSINESS PHONE: 8027750325 MAIL ADDRESS: STREET 1: 25 GREENS HILL ROAD CITY: RUTLAND STATE: VT ZIP: 05701 5 1 wf-form5_167450862778501.xml FORM 5 X0306 5 2022-12-31 0 0 0 0000911177 CASELLA WASTE SYSTEMS INC CWST 0001055352 CASELLA JOHN W C/O CASELLA WASTE SYSTEMS 25 GREENS HILL LANE RUTLAND VT 05701 1 1 0 0 CHIEF EXECUTIVE OFFICER Class A Common Stock 11601 D Class A Common Stock 694 I By Spouse Class B Common Stock 166000 D Class B Common Stock 2022-12-02 5 G 0 137000 0 D 57100 I By Spouse Class B Common Stock 2022-12-02 5 G 0 137000 0 A 137000 I by SLAT 2 Class B Common Stock 134000 I By SLAT Held by Mr. Casella's spouse. Mr. Casella disclaims beneficial ownership of the securities indicated to the extent to which he does not have an actual pecuniary interest in such securities. Represents a gift of shares by Mr. Casella's spouse to a Spousal Lifetime Access Trust for the benefit of Mr. Casella ("SLAT 2"). Mr. Casella is the trustee of the SLAT 2. Amount shown reflects an adjustment to correct an inadvertent administrative error that omitted 100 shares of the issuer's Class B Common Stock from columns 4 and 5 of Table I in the Form 4 filed by Mr. Casella on November 15, 2022 ("Previous Form 4"). Table I, column 4 of the Previous Form 4 correctly reported Mr. Casella's disposition of 194,100 shares of Class B Common Stock to his spouse as a gift, but the corresponding acquisition of such shares by Mr. Casella's spouse was inadvertently reported as 194,000 shares of Class B Common Stock in Table I, column 4 as well as in Table I, column 5 reporting indirect beneficial ownership. In both cases, the amount should have been reported as 194,100 shares of Class B Common Stock. Held by the SLAT 2 for the benefit of Mr. Casella. Mr. Casella is the trustee of the SLAT 2. Held by the Spousal Lifetime Access Trust for the benefit of Mr. Casella's spouse ("SLAT"). /s/ John W. Casella 2023-01-23