SEC Form 4 · accession 0001209191-17-000092
Restaurant Brands International Inc. · QSR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Marc Caira
Director
Period of report
Dec 30, 2016
Accepted (ET)
Jan 3, 2017 · 2:50 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 SharesF1 | Dec 30, 2016 | A | 3,130 | $0.00 | A | 24,643 | 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)F2,F3,F4 | $21.60 | holding | — | — | — | — | — | Common Shares | 100,000 | 100,000 | D |
| Option (right to buy)F5 | $41.90 | holding | — | — | — | Mar 3, 2020 | Mar 6, 2025 | Common Shares | 17,747 | 17,747 | D |
Explanation of responses
- F1Represents restricted stock units that are earned and vested upon grant and that settle upon termination of board service.
- F2The options were issued with an exercise price of CAD$24.93. The reported exercise price represents the U.S. dollar equivalent.
- 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.