-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, KRDyaoqkVp3kLWr1WBDFxuhdoMtjhfy/p/qErENdDrfQieyngq8EL2Af9hZHVJOw t0X6M4jk9lvA2n5LlzOj7w== 0001209191-04-048009.txt : 20041012 0001209191-04-048009.hdr.sgml : 20041011 20041012104246 ACCESSION NUMBER: 0001209191-04-048009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041012 FILED AS OF DATE: 20041012 DATE AS OF CHANGE: 20041012 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RODRIGUEZ RAMON A CENTRAL INDEX KEY: 0001193732 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14267 FILM NUMBER: 041073713 MAIL ADDRESS: STREET 1: 110 S E 6TH STREET 28 TH FLOOR CITY: FORT LAUDERDALE STATE: FL ZIP: 33301 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: REPUBLIC SERVICES INC CENTRAL INDEX KEY: 0001060391 STANDARD INDUSTRIAL CLASSIFICATION: REFUSE SYSTEMS [4953] IRS NUMBER: 650716904 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 110 SE 6TH STT 28TH FLR CITY: FORT LAUDERDALE STATE: FL ZIP: 33301 BUSINESS PHONE: 9547692400 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-10-12 0 0001060391 REPUBLIC SERVICES INC RSG 0001193732 RODRIGUEZ RAMON A 350 EAST LAS OLAS BLVD. SUITE #1420 FORT LAUDERDALE FL 33301 1 0 0 0 Common Stock Option 14.55 2004-10-12 5 G 0 E 10000 14.55 D 2001-01-30 2011-01-30 Common Stock 10000 0 D Common Stock Option 14.55 2004-10-12 5 G 0 E 10000 14.55 A 2001-01-30 2011-01-30 Common Stock 10000 10000 I By limited partnership Common Stock Option 17.40 2004-10-12 5 G 0 E 10000 17.40 D 2002-01-31 2012-01-31 Common Stock 10000 0 D Common Stock Option 17.40 2004-10-12 5 G 0 E 10000 17.40 A 2002-01-31 2012-01-31 Common Stock 10000 10000 I By limited partnership Common Stock Option 19.23 2004-10-12 5 G 0 E 10000 19.23 D 2003-02-05 2013-02-05 Common Stock 10000 0 D Common Stock Option 19.23 2004-10-12 5 G 0 E 10000 19.23 A 2003-02-05 2013-02-05 Common Stock 10000 10000 I By limited partnership Common Stock Option 14.25 2004-10-12 5 G 0 E 10000 14.25 D 2000-01-03 2010-01-03 Common Stock 10000 0 D Common Stock Option 14.25 2004-10-12 5 G 0 E 10000 14.25 A 2000-01-03 2010-01-03 Common Stock 10000 10000 I By limited partnership Transfer of options to Crombet, Ltd., a Florida family limited partnership of which the general partner is Crombet, LLC and of which Mr. Rodriguez is the sole member. The reporting person disclaims beneficial ownership of common stock held by Crombet, Ltd. except to the extent of his pecuniary interest therein. By: /s/ David A. Barclay, Attorney-in-Fact 2004-10-12 -----END PRIVACY-ENHANCED MESSAGE-----