SEC Form 4/A · accession 0000947871-17-000177

Advanced Disposal Services, Inc. · ADSW

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

This is an amendment (Form 4/A). It replaces an earlier filing for the same period.

Reporting owner

Officer — CFO

Period of report

Oct 12, 2016

Accepted (ET)

Mar 1, 2017 · 6:00 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001585790

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	Feb 27, 2017	A	8,818	—	A	422,603	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option (right to buy)^F2	$13.00	Oct 12, 2016	A	61,096	A	—	Apr 26, 2022	Common Stock	61,096	61,096	D
Employee Stock Option (right to buy)^F3	$22.00	Feb 27, 2017	A	37,307	A	—	Feb 27, 2027	Common Stock	37,307	37,307	D

F1Shares of Common Stock subject to a grant of restricted stock units. The award will vest in full on the third anniversary of the date of grant (date of grant being 2/27/2017).
F2Award of options that were granted to replace options of equivalent intrinsic value that covered common stock of Advanced Disposal Waste Holdings Corp. ("Parent") and were cancelled in connection with the of merger of Parent into the Issuer with the Issuer as the surviving corporation. The options vested in full, according to their terms, as of the closing of the Issuer's initial public offering. This report amends the original From 4 filed by the Reporting Person on October 14, 2016 to correct the number of shares included in such grant of options, which initially was reported as 61,097 shares.
F3Award of options that will vest in full on the third anniversary of the date of grant (date of grant being 2/27/2017).