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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Amrhein Christine B. 9135 S. RIDGELINE BLVD., SUITE 200 C/O ADVANCED EMISSIONS SOLUTIONS, INC. HIGHLANDS RANCH, CO 80129 |
General Counsel |
Christine B. Amrhein | 01/07/2015 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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 the shares withheld to satisfy the minimum statutory tax withholding obligations upon the vesting of 1,278 shares issued under the issuer's Amended and Restated 2007 Equity Incentive Plan, as amended (the "2007 Plan"), pursuant to the 2013 Long Term Incentive Plan. |
(2) | Represents the shares withheld to satisfy the minimum statutory tax withholding obligations upon the vesting of 796 shares issued under the 2007 Plan pursuant to the 2014 Long Term Incentive Plan. |
(3) | Of the amount shown, 1,746 shares are held in the qualified pension plan account of the reporting person and 4,534 shares are restricted stock (not fully vested and subject to certain repurchase rights under the 2007 Plan). |
(4) | Represents the shares withheld to satisfy the minimum statutory tax withholding obligations upon the vesting of 114 shares issued under the issuer's Amended and Restated 2010 Non-Management Compensation and Incentive Plan, as amended (the "2010 Plan"), pursuant to the 2014 Management Incentive Program. |
(5) | Of the amount shown, 9,532 shares are held in the qualified pension plan account of the reporting person and 1102 shares are restricted stock (not fully vested and subject to certain repurchase rights under the 2010 Plan). |