0000947871-17-000611.txt : 20170803
0000947871-17-000611.hdr.sgml : 20170803
20170803172942
ACCESSION NUMBER: 0000947871-17-000611
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: DEHNE TANUJA
CENTRAL INDEX KEY: 0001563781
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37904
FILM NUMBER: 171006198
MAIL ADDRESS:
STREET 1: C/O SILVER BAY REALTY TRUST CORP.
STREET 2: 601 CARLSON PARKWAY, SUITE 250
CITY: MINNETONKA
STATE: MN
ZIP: 55305
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
ss53760_4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-08-01
0
0001585790
Advanced Disposal Services, Inc.
ADSW
0001563781
DEHNE TANUJA
C/O ADVANCED DISPOSAL SERVICES, INC.,
90 FORT WADE ROAD
PONTE VERDE
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 Tanuja M. Dehne
2017-08-02