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