U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
INITIAL 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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Feinberg Stephen
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(Last) (First) (Middle)
c/o Cerberus Capital Management, L.P., 450 Park Avenue, 28th Floor
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(Street)
New York New York 10022
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
September 10, 2002
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3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Clean Harbors, Inc. (CLHB)
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[ ] Director [X*] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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6. If Amendment, Date of Original (Month/Day/Year)
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7. 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 Beneficially Owned
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3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr. 5)
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* If the form is filed by more than one reporting person, see Instruction
5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print or Type Responses) (Over)
FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Securities:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative (I) Ownership
Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5)
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*
Series C Convertible Immed. None Common Stock, par 1,595,238* $10.50* I* By limited lia-
Preferred Stock, value $0.01 per share bility company
par value
$0.01 per share
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Explanation of Responses:
* Cerberus CH LLC, a Delaware limited liability company ("Cerberus CH"), is
the holder of 16,750 shares of Series C Convertible Preferred Stock, par
value $0.01 per share (the "Preferred Shares"), of Clean Harbors, Inc. (the
"Company"). Based upon the conversion rate of the Preferred Shares, which
is subject to certain adjustments, as of September 10, 2002, Cerberus CH
has the right to acquire an aggregate of 1,595,238 shares of the common
stock, par value $0.01 per share (the "Shares"), of the Company upon the
conversion of the Preferred Shares held by Cerberus CH. Stephen Feinberg
possesses sole power to vote and direct the disposition of all securities
of the Company held by Cerberus CH. Thus, as of September 10, 2002, for the
purposes of Reg. Section 240.13d-3, Stephen Feinberg is deemed to
beneficially own 1,595,238 Shares. Stephen Feinberg's interest in the
securities reported herein is limited to the extent of his pecuniary
interest in Cerberus CH, if any.
/s/ Stephen Feinberg September 12, 2002
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**Signature of Reporting Person Date
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, See Instruction 6 for procedure.
Potential persons who are to 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.
