SEC Form 4 · accession 0001209191-15-080100
Restaurant Brands International Inc. · QSR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul J Fribourg
Director
Period of report
Nov 12, 2015
Accepted (ET)
Nov 13, 2015 · 5:59 pm EST
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 | Nov 12, 2015 | P | 28,100 | $35.82 | A | 131,045 | D | |
| Common StockF2 | Nov 13, 2015 | P | 28,000 | $35.40 | A | 159,045 | 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)F3 | $3.54 | holding | — | — | — | — | Feb 2, 2021 | Common Stock | 106,050 | 106,050 | D |
Explanation of responses
- F1Represents the weighted average priced of the shares acquired. The prices of the shares acquired pursuant to the transactions ranged from $35.57 to $36.02 per share. The Reporting Person, upon request, will provide the Securities and Exchange Commission staff, the issuer or a security holder of the issuer full information regarding the number of shares purchased at each separate price.
- F2Represents the weighted average priced of the shares acquired. The prices of the shares acquired pursuant to the transactions ranged from $35.18 to $35.58 per share. The Reporting Person, upon request, will provide the Securities and Exchange Commission staff, the issuer or a security holder of the issuer full information regarding the number of shares purchased at each separate price.
- F3These options are immediately exercisable.