SEC Form 4 · accession 0001209191-16-118143
Restaurant Brands International Inc. · QSR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Marc Caira
Director
Period of report
May 5, 2016
Accepted (ET)
May 6, 2016 · 4:49 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 SharesF1 | May 5, 2016 | A | 100,000 | $21.60 | A | 121,513 | D | |
| Common SharesF2 | May 5, 2016 | S | 100,000 | $43.02 | D | 21,513 | 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)F1,F3,F4 | $21.60 | May 5, 2016 | M | 100,000 | D | — | — | Common Stock | 100,000 | 100,000 | D |
| Option (right to buy)F5 | $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.
- F2Represents the weighted average price of the shares sold. The reported shares were purchased in Canadian dollars at prices ranging from CAD$55.26 to CAD$55.42 per share, inclusive. The purchase prices were converted into their U.S. dollar equivalent ranging from USD$42.99 to USD$43.12 per share using the Bank of Canada noon exchange rate on May 5, 2016 of 0.7780. 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 sold at each separate price.
- F3These options are vested and immediately exercisable.
- F4These 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.
- 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.