UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Hanson Ron 9135 RIDGELINE BLVD, SUITE 200 HIGHLANDS RANCH, CO 80129 |
 |  |  SVP of Operations of ADA-ES |  |
/s/ Ronald Hanson | 06/22/2016 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Represents 15,111 shares of Restricted Stock (not vested and subject to transfer restrictions and forfeiture or certain repurchase rights, as applicable) and 180 shares of common stock issued pursuant to the Advanced Emissions Solutions, Inc. Amended and Restated 2010 Non-Management Compensation and Incentive Plan, as amended (the "2010 Plan") and 5,000 shares of Restricted Stock (not vested and subject to forfeiture and transfer restrictions) and 978 shares of common stock issued pursuant to the Advanced Emissions Solutions, Inc. Amended and Restated 2007 Equity Incentive Plan, as amended (the "2007 Plan"). Of such amount, 15,000 and 5,000 shares will vest, if at all, on April 14, 2017 and June 12, 2017, respectively. The remaining shares of Restricted Stock will vest, if at all, on January 2, 2017. |
(2) | Vesting of the Restricted Stock is subject to Mr. Hanson's continuous service with Advanced Emissions Solutions, Inc. or its related entities unless such shares vest sooner pursuant to Section 11 of the 2007 Plan or the 2010 Plan or Mr. Hanson's employment agreement. |
(3) | Of the amount shown, 665 shares are held in a qualified pension plan account of the reporting person. |