SEC Form 4 · accession 0001127602-17-000614
Fidelity National Information Services, Inc. · FIS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Frank R Martire
Officer — Executive Chairman · Director
Period of report
Dec 30, 2016
Accepted (ET)
Jan 4, 2017 · 4:18 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001136893
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 30, 2016 | F | 14,865 | $75.64 | D | 118,818 | D | |
| Common StockF1 | Dec 30, 2016 | F | 10,461 | $75.64 | D | 108,357 | D | |
| Common StockF1 | Dec 30, 2016 | F | 3,298 | $75.64 | D | 105,059 | D | |
| Common StockF1 | Dec 30, 2016 | F | 8,087 | $75.64 | D | 96,972 | D | |
| Common StockF1 | Dec 30, 2016 | F | 10,668 | $75.64 | D | 86,304 | D | |
| Common Stock | holding | — | — | — | 216,435 | I | 2015 GRAT | |
| Common Stock | holding | — | — | — | 342,064 | I | 2016 GRAT | |
| Common Stock | holding | — | — | — | 154,535 | I | 2016B GRAT |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F2 | $66.18 | Dec 31, 2016 | A | 118,335 | A | Dec 30, 2016 | Dec 31, 2019 | Common Stock | 118,335 | 118,335 | D |
| Stock Option (Right to Buy)F2 | $58.23 | Dec 31, 2016 | A | 160,798 | A | Mar 1, 2016 | Dec 31, 2019 | Common Stock | 160,798 | 241,196 | D |
| Stock Option (Right to Buy)F2 | $63.61 | Dec 31, 2016 | A | 51,125 | A | Mar 1, 2016 | Dec 31, 2019 | Common Stock | 51,125 | 76,687 | D |
| Stock Option (Right to Buy)F2 | $62.92 | Dec 31, 2016 | A | 174,102 | A | Dec 30, 2016 | Dec 31, 2019 | Common Stock | 174,102 | 174,102 | D |
Explanation of responses
- F1Represents shares to satisfy withholding tax obligation for Restricted Stock vesting; shares vested pursuant to agreement approved by the Board of Directors on October 28, 2016 and disclosed on Form 8-K on November 1, 2016.
- F2Vested pursuant to agreement approved by the Board of Directors on October 28, 2016 and disclosed on Form 8-K on November 1, 2016.