SEC Form 4 · accession 0000947871-17-000457
Advanced Disposal Services, Inc. · ADSW
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard L. Burke Jr.
Officer — Chief Exec. Officer & Director · Director
Period of report
Jun 13, 2017
Accepted (ET)
Jun 14, 2017 · 4:55 pm EDT
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 StockF1 | Jun 13, 2017 | M | 8,400 | $17.70 | A | 220,196 | D |
Table II — derivative securities
| 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 | $17.70 | Jun 13, 2017 | M | 8,400 | D | — | Nov 20, 2022 | Common Stock | 8,400 | 438,243 | D |
Explanation of responses
- F1The Reporting Person exercised the options on a cash basis.
- F2This option fully vested in connection with its grant upon the Reporting Person's appointment as the Issuer's Chief Executive Office.