SEC Form 4 · accession 0001209191-15-026185
Restaurant Brands International Inc. · QSR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Marc Caira
Director
Period of report
Mar 6, 2015
Accepted (ET)
Mar 13, 2015 · 6:09 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001618756
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 28,569 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option (right to buy)F5 | $41.90 | Mar 6, 2015 | A | 17,747 | A | Mar 3, 2020 | Mar 6, 2025 | Common Stock | 17,747 | 17,747 | D |
| Option (right to buy)F4,F1,F2,F3 | $21.60 | holding | — | — | — | — | — | Common Stock | 348,854 | 348,854 | D |
Explanation of responses
- F1The options were issued with an exercise price of CAD$24.93. The reported exercise price represents the U.S. dollar equivalent following conversion using the Bank of Canada noon exchange rate of 0.8666.
- F2These options are vested and immediately exercisable.
- F3These options are exercisable until the earlier of (i) December 14, 2017 and (ii) 90 days after cessation of the Reporting Person's service on the Restaurant Brands International Inc. Board of Directors.
- F4This figure includes the Reporting Person's holdings both of options and the tandem SARs.
- F5The options were issued with an exercise price of CAD$52.86. The reported exercise price represents the U.S. dollar equivalent following conversion using the Bank of Canada noon exchange rate of 0.7926.