0000947871-17-000877.txt : 20171103
0000947871-17-000877.hdr.sgml : 20171103
20171103180904
ACCESSION NUMBER: 0000947871-17-000877
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171103
FILED AS OF DATE: 20171103
DATE AS OF CHANGE: 20171103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HOFFMAN MICHAEL J
CENTRAL INDEX KEY: 0001167147
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37904
FILM NUMBER: 171177788
MAIL ADDRESS:
STREET 1: 8111 LYNDALE AVENUE SOUTH
CITY: BLOOMINGDALE
STATE: MN
ZIP: 55420-1196
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
ss66163_4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-11-03
0
0001585790
Advanced Disposal Services, Inc.
ADSW
0001167147
HOFFMAN MICHAEL J
C/O ADVANCED DISPOSAL SERVICES, INC.,
90 FORT WADE ROAD
PONTE VEDRA
FL
32081
1
0
0
0
Common Stock
2017-11-03
4
A
0
4436
0
A
4436
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 11/03/2017).
/s/ Jeffrey Everett, Attorney-in-Fact for Michael J. Hoffman
2017-11-03