0000947871-19-000161.txt : 20190227 0000947871-19-000161.hdr.sgml : 20190227 20190227191254 ACCESSION NUMBER: 0000947871-19-000161 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190225 FILED AS OF DATE: 20190227 DATE AS OF CHANGE: 20190227 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carn Steven R. CENTRAL INDEX KEY: 0001657559 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37904 FILM NUMBER: 19639774 MAIL ADDRESS: STREET 1: 90 FORT WADE ROAD CITY: PONTE VEDRA STATE: FL ZIP: 32081 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 ownership.xml X0306 4 2019-02-25 0 0001585790 Advanced Disposal Services, Inc. ADSW 0001657559 Carn Steven R. C/O ADVANCED DISPOSAL SERVICES, INC. 90 FORT WADE ROAD PONTE VEDRA FL 32081 0 1 0 0 Executive Vice President & CFO Common Stock 2019-02-25 4 A 0 7493 A 150063 D Employee Stock Option (right to buy) 26.69 2019-02-25 4 A 0 27663 0 A 2029-02-25 Common Stock 27663 27663 D Shares of Common Stock subject to a grant of restricted stock units. Award will vest in full on the third anniversary of the date of grant (date of grant being 2/25/2019). Award of options that will vest in full on the third anniversary of the date of grant (date of grant being 2/25/2019). /s/ Jeffrey Everett, Attorney-in-Fact for Steven R. Carn 2019-02-27