SEC Form 4 · accession 0001209191-15-063003
Restaurant Brands International Inc. · QSR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Marc Caira
Director
Period of report
Jul 29, 2015
Accepted (ET)
Jul 30, 2015 · 6:11 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 StockF1 | Jul 29, 2015 | M | 148,854 | $21.60 | A | 177,423 | D | |
| Common StockF2 | Jul 29, 2015 | D | 148,854 | $42.72 | D | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Appreciation RightF3,F6,F1,F4,F5 | $21.60 | Jul 29, 2015 | M | 148,854 | D | — | — | Common Stock | 148,854 | 200,000 | D |
| Option (right to buy)F7 | $41.90 | holding | — | — | — | Mar 3, 2020 | Mar 6, 2025 | Common Stock | 17,747 | 17,747 | 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.
- F2The reported value represents the U.S. dollar equivalent following conversion using the Bank of Canada noon exchange rate on July 29, 2015 of 0.7756.
- F3On July 29, 2015 the Reporting Person exercised the tandem stock appreciation rights ("SARs") reported, upon which the corresponding stock options were extinguished.
- F4These options are vested and immediately exercisable.
- F5These options are exercisable until the earlier of (i) December 14, 2017 and (ii) 90 days after the cessation of the Reporting Person's service on the Restaurant Brands International Inc. Board of Directors.
- F6This figure includes the Reporting Person's holdings both of options and the tandem SARs.
- F7The 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.