0000947871-17-000610.txt : 20170803 0000947871-17-000610.hdr.sgml : 20170803 20170803172407 ACCESSION NUMBER: 0000947871-17-000610 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170801 FILED AS OF DATE: 20170803 DATE AS OF CHANGE: 20170803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CONLEY E RENAE CENTRAL INDEX KEY: 0001125828 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37904 FILM NUMBER: 171006133 MAIL ADDRESS: STREET 1: 414 SILVER AVE SW MS 1275 CITY: ALBUQUERQUE STATE: NM ZIP: 87102-3289 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 4 1 ss53759_4.xml OWNERSHIP DOCUMENT X0306 4 2017-08-01 0 0001585790 Advanced Disposal Services, Inc. ADSW 0001125828 CONLEY E RENAE C/O ADVANCED DISPOSAL SERVICES, INC., 90 FORT WADE ROAD 90 FORT WADE ROAD FL 32081 1 0 0 0 Common Stock 2017-08-01 4 A 0 4106 0 A 4106 D This restricted stock award is scheduled to vest in full on the third anniversary of the date of grant (the date of grant being 08/01/2017). /s/ Jeffrey Everett, Attorney-in-Fact for E. Renae Conley 2017-08-02