Statement of Changes in Beneficial Ownership (4)
February 21 2018 - 6:46PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Vander Ark Jon
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2. Issuer Name
and
Ticker or Trading Symbol
REPUBLIC SERVICES, INC.
[
RSG
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
EVP-Chief Operating Officer
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(Last)
(First)
(Middle)
18500 N. ALLIED WAY
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3. Date of Earliest Transaction
(MM/DD/YYYY)
2/18/2018
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(Street)
PHOENIX, AZ 85054
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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2/18/2018
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M
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2006
(1)
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A
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$0.00
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6296
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D
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Common Stock
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2/18/2018
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F
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844
(2)
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D
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$65.14
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5452
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D
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Common Stock
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2/18/2018
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M
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2205
(3)
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A
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$0.00
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7657
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D
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Common Stock
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2/18/2018
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F
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928
(2)
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D
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$65.14
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6729
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Restricted Stock Units
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(4)
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2/18/2018
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M
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2006
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(1)
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(1)
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Common Stock
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2006
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$0.00
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4012
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D
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Restricted Stock Units
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(4)
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2/18/2018
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M
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2205
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(3)
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(3)
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Common Stock
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2205
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$0.00
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6616
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D
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Restricted Stock Units
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(5)
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2/18/2018
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A
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9595
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(5)
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(5)
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Common Stock
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9595
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$65.14
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9595
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D
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Explanation of Responses:
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(1)
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The Restricted Stock Units ("RSUs") granted on 02/18/2016 vest 25% on each of the first four anniversaries of the date of grant. 2,006 RSUs, that included accrued dividend equivalents, vested on 02/18/2018 and were paid out in the form of Republic Services, Inc.'s common stock.
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(2)
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Represents shares of common stock to satisfy the tax liability of the Reporting Person upon the vesting of shares under a Restricted Stock Unit award on Sunday, 02/18/2018. The fair market value of the exchanged shares was $65.14 (the closing price of Republic Services, Inc.'s common stock on Friday, 02/16/2018).
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(3)
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The Restricted Stock Units ("RSUs") granted on 02/18/2017 vest 25% on each of the first four anniversaries of the date of grant. 2,205 RSUs, that included accrued dividend equivalents, vested on 02/18/2018 and were paid out in the form of Republic Services, Inc.'s common stock.
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(4)
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Each Restricted Stock Unit represents the contingent right to one share of common stock of Republic Services, Inc.
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(5)
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Restricted Stock Units ("RSUs") awarded pursuant to Republic Services, Inc.'s 2007 Stock Incentive Plan, as amended. The award will vest 25% on each of the first four anniversaries of the date of grant (which date of grant is Sunday, 02/18/2018) and each RSU ultimately will be paid out in the form of one share of Republic Services, Inc.'s common stock. The number of RSUs was calculated based on the closing stock price of Republic Services, Inc.'s common stock on Friday, 02/16/2018 ($65.14).
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Vander Ark Jon
18500 N. ALLIED WAY
PHOENIX, AZ 85054
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EVP-Chief Operating Officer
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Signatures
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/s/ Eileen B. Schuler Attorney-in-Fact
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2/21/2018
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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