0001515156-19-000004.txt : 20190104 0001515156-19-000004.hdr.sgml : 20190104 20190104174532 ACCESSION NUMBER: 0001515156-19-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190102 FILED AS OF DATE: 20190104 DATE AS OF CHANGE: 20190104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sampson L Heath CENTRAL INDEX KEY: 0001618774 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37822 FILM NUMBER: 19511338 MAIL ADDRESS: STREET 1: C/O ADVANCED EMISSIONS SOLUTIONS, INC. STREET 2: 9135 S RIDGELINE BLVD STE 200 CITY: HIGHLANDS RANCH STATE: CO ZIP: 80129 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Advanced Emissions Solutions, Inc. CENTRAL INDEX KEY: 0001515156 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS CHEMICAL PRODUCTS [2890] IRS NUMBER: 275472457 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 640 PLAZA DRIVE, SUITE 270 CITY: HIGHLANDS RANCH STATE: CO ZIP: 80129 BUSINESS PHONE: 720-598-3500 MAIL ADDRESS: STREET 1: 640 PLAZA DRIVE, SUITE 270 CITY: HIGHLANDS RANCH STATE: CO ZIP: 80129 4 1 wf-form4_154664191604508.xml FORM 4 X0306 4 2019-01-02 0 0001515156 Advanced Emissions Solutions, Inc. ADES 0001618774 Sampson L Heath 640 PLAZA DRIVE, SUITE 270 C/O ADVANCED EMISSIONS SOLUTIONS, INC. HIGHLANDS RANCH CO 80129 1 1 0 0 President & CEO Common Stock 2019-01-02 4 F 0 7557 10.70 D 257222 D Represents the shares withheld to satisfy the statutory tax withholding obligations upon the vesting of shares issued under the issuer's Amended and Restated 2007 Equity Incentive Plan, as amended (the "2007 Plan"). /s/ L. Heath Sampson 2019-01-04