SEC Form 4 · accession 0001209191-17-000217
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
Dec 30, 2016
Accepted (ET)
Jan 3, 2017 · 4:22 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 | 2,086 | $0.00 | A | 9,526 | D | |
| Common Shares | holding | — | — | — | 22,000 | I | By spouse |
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 restricted stock units that are earned and vested upon grant and that settle upon termination of board service.