SEC Form 4 · accession 0001209191-16-140939
Restaurant Brands International Inc. · QSR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Motta Roberto Moses Thompson
Director
Period of report
Sep 8, 2016
Accepted (ET)
Sep 12, 2016 · 4:23 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 | Sep 8, 2016 | P | 22,000 | $46.98 | A | 22,000 | I | By spouse |
| Common Shares | holding | — | — | — | 7,440 | 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) | $19.51 | holding | — | — | — | Jul 1, 2018 | Jun 30, 2023 | Common Shares | 25,627 | 25,627 | D |
Explanation of responses
- F1Represents the weighted average price of the shares purchased. The reported shares were purchased at prices ranging from USD$46.94 to USD$47.00 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.