SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Ellingsen Catharine D

(Last) (First) (Middle)
18500 N. ALLIED WAY

(Street)
PHOENIX AZ 85054

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/13/2016
3. Issuer Name and Ticker or Trading Symbol
REPUBLIC SERVICES, INC. [ RSG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP/Chief Legal Officer/Sec
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 986 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Options (02/15/2011 Grant Date) (1) 02/15/2018 Common Stock 1,625 $29.84 D
Non-Qualified Stock Options (02/10/2012 Grant Date) (1) 02/10/2019 Common Stock 5,700 $30.15 D
Non-Qualified Stock Options (02/08/2013 Grant Date) (1) 02/08/2020 Common Stock 8,550 $31.12 D
Restricted Stock Units (02/07/2014 Grant Date) (2) (2) Common Stock 1,149 (2) D
Restricted Stock Units (02/07/2014 Grant Date) (3) (3) Common Stock 3,190 (3) D
Restricted Stock Units (02/13/2015 Grant Date) (2) (2) Common Stock 1,186 (2) D
Restricted Stock Units (02/13/2015 Grant Date) (4) (4) Common Stock 2,631 (4) D
Restricted Stock Units (02/18/2016 Grant Date) (2) (2) Common Stock 1,876 (2) D
Stock Units(5) (5) (5) Common Stock - Settled in Cash(5) 17,781 (5) D
Explanation of Responses:
1. Grant vesting occurs 25% on each of the first four anniversaries of the Grant Date in accordance with the Company's 2007 Stock Incentive Plan, as amended.
2. Grant vesting occurs 25% on each of the first four anniversaries of the Grant Date in accordance with the Company's 2007 Stock Incentive Plan, as amended. Each Restricted Stock Unit receives quarterly dividend equivalents each time a dividend is paid on the Company's common stock and ultimately will be paid out in the form of one share of the Company's common stock (1 to 1 conversion).
3. Special grant vesting occurs on 02/07/2018, four years of the Grant Date in accordance with the Company's 2007 Stock Incentive Plan, as amended. Each Restricted Stock Unit receives quarterly dividend equivalents each time a dividend is paid on the Company's common stock and ultimately will be paid out in the form of one share of the Company's common stock (1 to 1 conversion).
4. Special grant vesting occurs on 02/13/2019, four years of the Grant Date in accordance with the Company's 2007 Stock Incentive Plan, as amended. Each Restricted Stock Unit receives quarterly dividend equivalents each time a dividend is paid on the Company's common stock and ultimately will be paid out in the form of one share of the Company's common stock (1 to 1 conversion).
5. Stock units held under the Republic Services Stock Investment Fund ("Investment Fund") pursuant to Ms. Ellingsen's election under the Company's Deferred Compensation Plan. The Investment Fund is a measurement fund under which units are equal in value to shares of the Company's common stock and are settled in cash and receive dividend equivalents, in the form of additional stock units, each time a dividend is paid on the Company's common stock.
Remarks:
/s/ Eileen B. Schuler Attorney-in-Fact 06/22/2016
** 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 5 (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.